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

Kelly Ellis, PTA, LMT

Individual provider Massage Therapist · NPI 1073192126

Kelly Ellis, PTA, LMT is a Massage Therapist in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

600 W North Blvd
Leesburg, FL 34748-5063
Phone: (352) 787-9300
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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 30011 (FL)
Massage Therapist Taxonomy 225700000X · Licence 72444 (FL)

Record details

NPI number1073192126
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , LMT
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021

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