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JAY T ELLIS PT, DPT, CSCS
NPI 1811924012
Contractor in Idaho Falls, ID

Active since June 26, 2006
3100 S WOODRUFF AVE, IDAHO FALLS, ID 83404(208) 523-8879(208) 523-0436 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jay T Ellis Pt, Dpt, Cscs NPPES

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

JAY T ELLIS PT, DPT, CSCS (NPI 1811924012) is an individual contractor provider in Idaho Falls, Idaho, licensed in Idaho (RPT231) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1811924012
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameJAY T ELLISCredential: PT, DPT, CSCS
Location Address3100 S WOODRUFF AVEIdaho Falls, ID 83404-8310
Mailing AddressPo Box 1463Idaho Falls, ID 83403-1463 · (208) 523-8879 · Fax (208) 523-0436
Phone(208) 523-8879
Fax(208) 523-0436
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateMarch 4, 2011
✔ NPI 1811924012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License✔ Licensed in ID · RPT231
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
3100 S WOODRUFF AVE, Idaho Falls, ID 83404
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Other Identifiers 4

Medicare ID-Type Unspecified1653264ID
OtherT0742ID · Blue Cross Of Idaho
Medicaid804274500ID
Other316942ID · Blue Shield

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDICE LAREE TOVEY DPT
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-8879
LOGAN BRADLEY DPT
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-8879
BRADEN BENNETT PT, DPT
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-8879
JOHN HENRY ALLEN ROBERTS
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-8879
ELLIS PHYSICAL THERAPY P A
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-8879
MELINA NICOLE HARRINGTON DPT
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-8879
DR. KYLE PRESTON TELFORD DPT
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-8879
DR. VANCE SHURTLIFF DPT
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-8879

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 Jay T Ellis's NPI number?

The NPI number for Jay T Ellis is 1811924012. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Jay T Ellis located?

Jay T Ellis practices at 3100 S Woodruff Ave, Idaho Falls, ID 83404. The listed phone number is (208) 523-8879.

What is Jay T Ellis's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Jay T Ellis was last updated on March 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.