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

Heather Renee Ellis, PT, DPT

Individual provider Physical Therapist · NPI 1053898759

Heather Renee Ellis, PT, DPT is a Physical Therapist in Private Practice in Griffin, Georgia. Qualified in 2018, 8 years ago. Practices with Laboratory Fitness LLC, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Kansas, North Carolina and Ohio and 3 more.

Years since qualifying
8
Licensed in
GA, KS, NC, OH, SC, TN
In the registry since
2018
Specialties on file
7
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

1438 Highway 16 W Ste C
Griffin, GA 30223-2096
Phone: (770) 233-0350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 62 Carriage Oaks Dr, Tyrone, GA 30290 — (770) 969-7166

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT013604 (GA)
Physical Therapist Taxonomy 225100000X · Licence CP024110T (OH)
Physical Therapist Taxonomy 225100000X · Licence CP022961T (NC)
Physical Therapist Taxonomy 225100000X · Licence CP030242T (SC)
Physical Therapist Taxonomy 225100000X · Licence CP022960T (VA)
Physical Therapist Taxonomy 225100000X · Licence T-W0035-3 (KS)
Physical Therapist Taxonomy 225100000X · Licence 15271 (TN)

Record details

NPI number1053898759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 25, 2018
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Laboratory Fitness Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Griffin