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

Individual provider Physical Therapist · NPI 1083444723

Dominique Ellis, PT, DPT is a Physical Therapist in Bronx, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4620 Richardson Ave
Bronx, NY 10470-1550
Phone: (347) 867-2243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 049264-01 (NY)

Record details

NPI number1083444723
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

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