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

Clayton Kyle Ellis, PTA

Individual provider Physical Therapy Assistant · NPI 1093062317

Clayton Kyle Ellis, PTA is a Physical Therapy Assistant in Mc Rae, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

6 E Oak St
Mc Rae, GA 31055-4337
Phone: (229) 868-2174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA002897 (GA)

Record details

NPI number1093062317
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 6, 2012
Last updated in NPPESAugust 6, 2012

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