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

Kathleen Annette Ellis

Individual provider Physical Therapy Assistant · NPI 1629805429

Kathleen Annette Ellis is a Physical Therapy Assistant in Indianapolis, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2024
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Practice location Address checks out

426 S Alabama St Ste 200
Indianapolis, IN 46225-3301
Phone: (317) 528-6804
Fax: (317) 528-3781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8111 S Emerson Ave, Indianapolis, IN 46237-8601 — (317) 528-8578

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06002780A (IN)

Record details

NPI number1629805429
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

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