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

Mr. Todd Ellis, PTA

Individual provider Physical Therapy Assistant · NPI 1366816522

Mr. Todd Ellis, PTA is a Physical Therapy Assistant in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

19567 Cleveland Rd
South Bend, IN 46637-3201
Phone: (574) 277-7600
Fax: (574) 277-7690
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 06004506A (IN)

Record details

NPI number1366816522
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 25, 2015
Last updated in NPPESNovember 25, 2015
Mailing address19567 Cleveland Rd, South Bend, IN 46637-3201

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