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

Mason James Ellis, DPT

Individual provider Physical Therapist · NPI 1316514094

Mason James Ellis, DPT is a Physical Therapist in Private Practice in Fairfield, Iowa. Qualified in 2021, 5 years ago. Practices with Conilogue PT LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
5
Licensed in
IA
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1401 S Main St Ste 104
Fairfield, IA 52556-3771
Phone: (641) 209-1446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 106917 (IA)

Record details

NPI number1316514094
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Conilogue Pt Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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