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

Michael Raymond Ellis, PTA

Individual provider Physical Therapy Assistant · NPI 1275713273

Michael Raymond Ellis, PTA is a Physical Therapy Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

1655 Richmond Ave Ste B102
Staten Island, NY 10314-1570
Phone: (718) 370-3500
Fax: (718) 370-9724
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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 003487-1 (NY)

Record details

NPI number1275713273
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 7, 2007
Last updated in NPPESNovember 7, 2007

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