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

Israel Ellerbrock, PTA

Individual provider Physical Therapy Assistant · NPI 1558194423

Israel Ellerbrock, PTA is a Physical Therapy Assistant in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

615 Lilly Rd NE Ste 240
Olympia, WA 98506-5117
Phone: (360) 413-3850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence P160835239 (WA)

Record details

NPI number1558194423
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 24, 2024
Last updated in NPPESAugust 24, 2024
Certification dateAugust 24, 2024

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