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

Courtney Ellstrom, DPT

Individual provider Physical Therapist · NPI 1104120054

Courtney Ellstrom, DPT is a Physical Therapist in Private Practice in Beaumont, California. Qualified in 2010, 16 years ago. Practices with Marketplace Physical Therapy Inc, a Professional Corporation, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1620 E Second St Ste Iandj
Beaumont, CA 92223-3171
Phone: (951) 370-1325
Fax: (951) 684-2980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3191 Mission Inn Ave Ste B, Riverside, CA 92507-4188 — (951) 376-2692

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT37207 (CA)

Record details

NPI number1104120054
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 7, 2011
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Marketplace Physical Therapy Inc, A Professional Corporation — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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