DR. PETER MARK ANTHONY ELLISON JR. DPT
NPI 1184359879
Physical Therapist in Wallingford, CT

Active since July 18, 2022Accepts Medicare Assignment
88.13/100
CMS Quality Rating
850 N MAIN STREET EXT # 3B, WALLINGFORD, CT 06492(203) 265-3790(203) 265-2120 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Jul 18, 2022 (2 updates tracked since 2022).

About Dr. Peter Mark Anthony Ellison Jr. Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER MARK ANTHONY ELLISON JR. DPT (NPI 1184359879) is an individual physical therapist in Wallingford, Connecticut, licensed in Connecticut (14200) and active in the NPI registry since July 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1184359879
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. PETER MARK ANTHONY ELLISON JR.Credential: DPT
Location Address850 N MAIN STREET EXT # 3BWallingford, CT 06492-2400
Mailing AddressPo Box 866308Plano, TX 75086-6308 · (347) 310-8857 · Fax (717) 635-4785
Fax(203) 265-2120
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 18, 2022
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1184359879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CT · 14200
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
850 N MAIN STREET EXT # 3B, Wallingford, CT 06492

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter Mark Anthony Ellison Jr. Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133503253
PECOS Enrollment IDI20220908001307

Medicare Billing Reassignments

4

Medicare enrollment records show Peter Ellison reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
6144 ROUTE 25A STE 16-17
Wading River, NY 11792
  • Reassigned Medicare billing, New York enrollment
  • 518 clinicians in this Medicare group
Orthopedic
530 MAIN ST
Armonk, NY 10504
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
Physical Therapy
1915 CENTRAL PARK AVE STE 205
Yonkers, NY 10710
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
Physical Therapist
99 HUDSON ST FL 5
New York, NY 10013
  • Reassigned Medicare billing, New York enrollment
  • 364 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.03
Improvement Activities40

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 Peter Ellison's NPI number?

The NPI number for Peter Ellison is 1184359879. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Peter Ellison located?

Peter Ellison practices at 850 N Main Street Ext # 3B, Wallingford, CT 06492. The listed phone number is (203) 265-3790.

What is Peter Ellison's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Peter Ellison enrolled in Medicare?

Yes. Peter Ellison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Peter Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Ellison reassigns Medicare benefits to 4 organizations: Professional Occupational & Physical Therapy, PLLC (Wading River, NY), Focal Physical Therapy PLLC (Armonk, NY), Empowerment Physical Therapy PLLC (Yonkers, NY) and Bienetre Medical PC (New York, NY). 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 Peter Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Ellison accept?

Health plans from Anthem Blue Cross and Blue Shield list Peter Ellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Ellison was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.