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

Leslie Ellis

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1568889418

Leslie Ellis is a Sports Medicine in Woodbury, Minnesota. Graduated from New York University School of Medicine in 2014, 12 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and New York.

Years since qualifying
12
Trained at
New York University School of Medicine
Licensed in
MN, NY
In the registry since
2014
Specialties on file
3

Practice location Address checks out

155 Radio Dr
Woodbury, MN 55125-2619
Phone: (952) 831-8742
Show map & directions

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

Additional practice locations (1)

  • 1 Gustave Apt 4h, New York, NY 10009 — (212) 241-6500

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 68502 (MN)
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X · Licence 3005091 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568889418
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2014
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Woodbury