JACOB RYAN ELLINGSON MSPT, SCS, ATC, CSCS
NPI 1346210432
Physical Therapist - Sports in Mora, MN

Q: What is Jacob Ellingson's NPI number?

The NPI number for Jacob Ellingson is 1346210432. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Jacob Ellingson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Ellingson was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 23, 2006

301 HIGHWAY 65 S, MORA, MN 55051(320) 225-3356(320) 225-3370 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jacob Ryan Ellingson Mspt, Scs, Atc, Cscs NPPES

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

JACOB RYAN ELLINGSON MSPT, SCS, ATC, CSCS (NPI 1346210432) is an individual sports provider in Mora, Minnesota, licensed in Minnesota (6749) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1346210432

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameJACOB RYAN ELLINGSONCredential: MSPT, SCS, ATC, CSCS

Location Address301 HIGHWAY 65 SMora, MN 55051-1899

Mailing Address301 Highway 65 SMora, MN 55051-1899 · (320) 225-3356 · Fax (320) 225-3370

Phone(320) 225-3356

Fax(320) 225-3370

Sole ProprietorNo

Enumeration DateJanuary 23, 2006

Last NPPES UpdateJuly 9, 2014

✔ NPI 1346210432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in MN · 6749

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

301 HIGHWAY 65 S, Mora, MN 55051

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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.

JON JUNEAU

Urology

301 HIGHWAY 65 S
MORA, MN 55051

Kanabec County (320) 225-3317

DENISE MARIE LARSON D.O.

Emergency Medicine (Undersea and Hyperbaric Medicine)

301 HIGHWAY 65 S, FIRSTLIGHT HEALTH SYSTEM
MORA, MN 55051

Kanabec County (320) 225-3432

SARA LEE ESTENSON PT

Physical Therapist

301 HIGHWAY 65 S
MORA, MN 55051

Kanabec County (320) 225-3356

DAVID BIDLE MD

Family Medicine

301 HIGHWAY 65 S
MORA, MN 55051

Kanabec County (320) 679-1212

JENNIFER NIEDZIELSKI PTA

Physical Therapy Assistant

301 HIGHWAY 65 S
MORA, MN 55051

Kanabec County (320) 225-3358

LEAH L HAVERHALS PT

Physical Therapist

301 HIGHWAY 65 S
MORA, MN 55051

Kanabec County (320) 225-3356

DANIELLE GILBERTSON MSW, LICSW

Social Worker (Clinical)

301 HIGHWAY 65 S
MORA, MN 55051

Kanabec County (320) 225-3577

DR. PATRICIA RAE LIND PHARM D

Pharmacist

301 HIGHWAY 65 S
MORA, MN 55051

Kanabec County (320) 225-3593

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 Jacob Ellingson's NPI number?

The NPI number for Jacob Ellingson is 1346210432. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Jacob Ellingson located?

Jacob Ellingson practices at 301 Highway 65 S, Mora, MN 55051. The listed phone number is (320) 225-3356.

What is Jacob Ellingson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Jacob Ellingson was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.