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

Michael Elleman

Individual provider Physical Therapy Assistant · NPI 1790142719

Michael Elleman is a Physical Therapy Assistant in Glassboro, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2016.

Licensed in
NJ, NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

410 Villanova Rd
Glassboro, NJ 08028-1558
Phone: (765) 744-1623
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00328000 (NJ)
Physical Therapy Assistant Taxonomy 225200000X · Licence 008410-1 (NY)

Record details

NPI number1790142719
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 21, 2016
Last updated in NPPESJanuary 21, 2016
Mailing address410 Villanova Rd, Glassboro, NJ 08028-1558