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

Mrs. Kourtney Kober Ellis, DPT

Individual provider Physical Therapist · NPI 1093264269

Mrs. Kourtney Kober Ellis, DPT is a Physical Therapist in Private Practice in Lake Charles, Louisiana. Qualified in 2016, 10 years ago. Practices with Superior Spine and Sports Physical Therapy Inc, a 2-clinician group. Licensed in Louisiana.

Years since qualifying
10
Licensed in
LA
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4080 Nelson Rd Ste 500
Lake Charles, LA 70605-2439
Phone: (337) 494-7546
Fax: (337) 494-7548
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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 09341 (LA)

Record details

NPI number1093264269
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESSeptember 28, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Superior Spine And Sports Physical Therapy Inc — 2 clinicians
Accepts Medicare assignment Not indicated

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