Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jay T Ellis, PT, DPT, CSCS

Individual provider Contractor · NPI 1811924012

Jay T Ellis, PT, DPT, CSCS is a Contractor in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
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

3100 S Woodruff Ave
Idaho Falls, ID 83404-8310
Phone: (208) 523-8879
Fax: (208) 523-0436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence RPT231 (ID)

Record details

NPI number1811924012
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESMarch 4, 2011

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