Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Ellis

Individual provider Physical Therapist · NPI 1366373532

Blake Ellis is a Physical Therapist in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026

Practice location Address checks out

1155 S College Mall Rd Ste A
Bloomington, IN 47401-6166
Phone: (812) 558-3356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IN)

Record details

NPI number1366373532
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 27, 2026
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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