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

Mr. Brian Jon Ellingworth, PT

Individual provider Physical Therapist · NPI 1861450504

Mr. Brian Jon Ellingworth, PT is a Physical Therapist in Private Practice in Mankato, Minnesota. Qualified in 1986, 40 years ago. Practices with Orthopaedic and Fracture Clinic, PA, a 32-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
40
Licensed in
MN
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1431 Premier Dr
Mankato, MN 56001-6076
Phone: (507) 386-6700
Fax: (507) 388-8372
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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 3052 (MN)

Record details

NPI number1861450504
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESJuly 22, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Orthopaedic And Fracture Clinic, P.A. — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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