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

Jacob Ryan Ellingson, MSPT, SCS, ATC, CSCS

Individual provider Sports Physical Therapist · NPI 1346210432

Jacob Ryan Ellingson, MSPT, SCS, ATC, CSCS is a Sports Physical Therapist in Mora, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

301 Highway 65 S
Mora, MN 55051-1899
Phone: (320) 225-3356
Fax: (320) 225-3370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 6749 (MN)

Record details

NPI number1346210432
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT , SCS , ATC , CSCS
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJuly 9, 2014