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

Individual provider Physical Therapy Assistant · NPI 1306107065

Mrs. Kermalene Marie Ellsworth, PTA is a Physical Therapy Assistant in McHenry, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5006 Memory Trl
McHenry, IL 60051-7778
Phone: (847) 497-3264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.004012 (IL)

Record details

NPI number1306107065
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 30, 2012

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