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

Individual provider Physical Therapist · NPI 1881793271

Mrs. Audrey Nissen Elliott, MPT is a Physical Therapist in Private Practice in Los Osos, California. Qualified in 1998, 28 years ago. Practices with Ruane Family Partnership, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1072 Los Osos Valley Rd
Los Osos, CA 93402-3237
Phone: (805) 528-2590
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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 23891 (CA)

Record details

NPI number1881793271
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Ruane Family Partnership — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Los Osos