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

Dr. Peter Mark Anthony Ellison Jr., DPT

Individual provider Physical Therapist · NPI 1184359879

Dr. Peter Mark Anthony Ellison Jr., DPT is a Physical Therapist in Private Practice in Wallingford, Connecticut. Qualified in 2022, 4 years ago. Practices with Focal Physical Therapy PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2022
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

850 N Main Street Ext # 3B
Wallingford, CT 06492-2400
Phone: (203) 265-3790
Fax: (203) 265-2120
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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 14200 (CT)

Record details

NPI number1184359879
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJuly 18, 2022
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Focal Physical Therapy Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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