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 with the weekly NPPES data releases published by CMS.

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: July 19, 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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