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

Keith Ellis, PT

Individual provider Physical Therapist · NPI 1972823367

Keith Ellis, PT is a Physical Therapist in Private Practice in Chesterton, Indiana. Qualified in 2009, 17 years ago. Practices with Innovative Physical Therapy LLC, a 10-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
Licensed in
IN
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

502 E 1100 N
Chesterton, IN 46304
Phone: (219) 926-5850
Fax: (219) 250-2072
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 60 W 94th Pl, Crown Point, IN 46307 — (219) 926-5850
  • 265 Morthland Dr Ste A, Valparaiso, IN 46383 — (219) 926-5850

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05010042A (IN)

Record details

NPI number1972823367
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 8, 2010
Last updated in NPPESNovember 26, 2021
Certification dateNovember 26, 2021
Mailing address502 E 1100 N, Chesterton, IN 46304-9697

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Innovative Physical Therapy Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chesterton