Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Ellen Newell McCullough, PT, DPT

Individual provider Physical Therapist · NPI 1699000455

MS. Ellen Newell McCullough, PT, DPT is a Physical Therapist in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1900 High Meadow Trl
South Lake Tahoe, CA 96150
Phone: (408) 313-0899
Fax: (408) 354-2228
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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 PT36087 (CA)
Physical Therapist Taxonomy 225100000X · Licence 36087 (CA)

Record details

NPI number1699000455
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 13, 2009
Last updated in NPPESNovember 5, 2019

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