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

Ely Pastoral, PT

Individual provider Physical Therapist · NPI 1104350321

Ely Pastoral, PT is a Physical Therapist in Anaheim, California. Practices as a sole proprietor. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

361 N Bellarose Way
Anaheim, CA 92805-3347
Phone: (646) 247-9699
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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 35994 (CA)
Physical Therapist Taxonomy 225100000X · Licence 070014826 (IL)

Record details

NPI number1104350321
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 13, 2017
Last updated in NPPESApril 13, 2017

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