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TERRENCE ELLIS
NPI 1467019414
Clinical Exercise Physiologist in Wyoming, MN

Active since May 24, 2019
5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 982-7843 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Terrence Ellis NPPES

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

TERRENCE ELLIS (NPI 1467019414) is an individual clinical exercise physiologist provider in Wyoming, Minnesota and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1467019414
Entity TypeIndividualMale
Primary Taxonomy224Y00000X
Provider Legal NameTERRENCE ELLIS
Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013
Mailing Address4770 Centerville Rd Apt 320Saint Paul, MN 55127-2312 · (320) 429-0547
Phone(651) 982-7843
Sole ProprietorNo
Enumeration DateMay 24, 2019
✔ NPI 1467019414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
Definition
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
5200 FAIRVIEW BLVD, Wyoming, MN 55092
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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.

LINDA KOEHLER
Rehabilitation Practitioner
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
SHANA M MCCRACKEN PA-C
Physician Assistant
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
SARAH CONNAUGHTY FUERSTENBERG MD
Pediatrics
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
JOHN B CARLSON-BUREN DPM
Podiatrist (Foot & Ankle Surgery)
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 389-0182
DEAN E KRATS MD
Emergency Medicine
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
MOLLY LEVY FNP-C
Nurse Practitioner (Family)
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7600
NATASHA LEWIS
Speech-Language Pathologist
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
MANI MOKALLA MD
Pediatrics
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000

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 Terrence Ellis's NPI number?

The NPI number for Terrence Ellis is 1467019414. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Where is Terrence Ellis located?

Terrence Ellis practices at 5200 Fairview Blvd, Wyoming, MN 55092. The listed phone number is (651) 982-7843.

What is Terrence Ellis's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Terrence Ellis was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.