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

Mrs. Bethany Ann Ellis, PTA

Individual provider Specialist · NPI 1033425806

Mrs. Bethany Ann Ellis, PTA is a Specialist in Shannon, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
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

5545 Highway 145
Shannon, MS 38868-9351
Phone: (662) 871-6638
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PTA3896 (MS)

Record details

NPI number1033425806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESAugust 31, 2010