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

Mrs. Ellen Elizabeth De Jong, PT

Individual provider Physical Therapist · NPI 1902817646

Mrs. Ellen Elizabeth De Jong, PT is a Physical Therapist in Private Practice in Kitty Hawk, North Carolina. Graduated from University of Maryland School of Medicine in 1987, 39 years ago. Practices with Seaside Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
39
Trained at
University of Maryland School of Medicine
Licensed in
NC, VA
In the registry since
2006
Specialties on file
2
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

6365 N Croatan Hwy Ste C
Kitty Hawk, NC 27949-3800
Phone: (252) 261-6489
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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 5494 (NC)
Physical Therapist Taxonomy 225100000X · Licence 2305003181 (VA)

Record details

NPI number1902817646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESNovember 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Seaside Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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