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

Kim Ellison, PTA

Individual provider Physical Therapy Assistant · NPI 1548301609

Kim Ellison, PTA is a Physical Therapy Assistant in Castle Rock, Colorado. Licensed in Colorado and Texas. Registered with an NPI since 2007.

Licensed in
CO, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2987 Willowrun Dr
Castle Rock, CO 80109-7987
Phone: (512) 576-3312
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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 2046043 (TX)
Physical Therapy Assistant Taxonomy 225200000X · Licence 0013873 (CO)

Record details

NPI number1548301609
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 10, 2007
Last updated in NPPESAugust 12, 2016
Mailing address2987 Willowrun Dr, Castle Rock, CO 80109-7987

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