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

Dr. Michael Thomas Ellis, DPT

Individual provider Physical Therapist · NPI 1700149259

Dr. Michael Thomas Ellis, DPT is a Physical Therapist in Oswego, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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

488 W 1 State St # A
Oswego, NY 13126-4141
Phone: (315) 602-0066
Fax: (315) 349-5921
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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 P84018 (NY)

Record details

NPI number1700149259
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022
Mailing address110 W 6th St, Oswego, NY 13126-2507

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