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

Mrs. Shannon M Ellis, PTA

Individual provider Physical Therapy Assistant · NPI 1568867430

Mrs. Shannon M Ellis, PTA is a Physical Therapy Assistant in Braselton, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

5775 Old Winder Hwy
Braselton, GA 30517-1603
Phone: (678) 866-4104
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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 PTA002735 (GA)

Record details

NPI number1568867430
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESNovember 4, 2014

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