Dr. Robert Ray Ellis, DPT
Dr. Robert Ray Ellis, DPT is a Physical Therapist in Private Practice in Diberville, Mississippi. Qualified in 2012, 14 years ago. Practices with Dynamic Rehabilitation Services, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 14
- Licensed in
- MS
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- DPT — Doctor of Physical Therapy
- The doctoral degree now required to enter physical therapy practice.
Practice location Address checks out
4016 Cassimer AveDiberville, MS 39540-2309
Phone: (228) 326-1115
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT5070 (MS) |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X · Licence PT5070 (MS) |
Record details
| NPI number | 1881945566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPT |
| Sole proprietor | Yes |
| NPI enumerated | September 21, 2012 |
| Last updated in NPPES | December 15, 2023 |
| Certification date | December 15, 2023 |
| Mailing address | 4016 Cassimer Ave, Diberville, MS 39540-2309 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Dynamic Rehabilitation Services, Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |