EVELYN ELLI PT
NPI 1639507312
Physical Therapist in Staten Island, NY
About Evelyn Elli Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVELYN ELLI PT (NPI 1639507312) is an individual physical therapist in Staten Island, New York, licensed in New York (028813) and active in the NPI registry since October 2013.
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evelyn Elli Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Evelyn Elli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11224
- Reassigned Medicare billing, New York enrollment
- 24 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.
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 Evelyn Elli's NPI number?
The NPI number for Evelyn Elli is 1639507312. It was assigned to this individual provider in the NPPES registry on October 16, 2013.
Where is Evelyn Elli located?
Evelyn Elli practices at 879 Targee St, Staten Island, NY 10304. The listed phone number is (718) 524-7509.
What is Evelyn Elli's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Evelyn Elli enrolled in Medicare?
Yes. Evelyn Elli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Evelyn Elli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Elli reassigns Medicare benefits to Community Health Initiatives, Inc. (Brooklyn, NY). The 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 Evelyn Elli'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 Evelyn Elli was last updated on November 26, 2013. 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.