ELLIS ODA DPT
NPI 1063145399
Physical Therapist in Riverside, CA
About Ellis Oda Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIS ODA DPT (NPI 1063145399) is an individual physical therapist in Riverside, California, licensed in California (302036) and active in the NPI registry since July 2022.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellis Oda Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ellis Oda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverside, CA 92507
- Reassigned Medicare billing, California enrollment
- 34 clinicians in this Medicare group
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92507
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ellis Oda's NPI number?
The NPI number for Ellis Oda is 1063145399. It was assigned to this individual provider in the NPPES registry on July 5, 2022.
Where is Ellis Oda located?
Ellis Oda practices at 6177 River Crest Dr Ste A, Riverside, CA 92507. The listed phone number is (951) 653-4480.
What is Ellis Oda's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Ellis Oda enrolled in Medicare?
Yes. Ellis Oda is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ellis Oda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellis Oda reassigns Medicare benefits to 2 organizations: West Coast Spine Restoration Center, Inc (Riverside, CA) and Orange Grove Physical Therapy, Inc (Redlands, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellis Oda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ellis Oda was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.