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

Nicholas Ellefson, DPT

Individual provider Physical Therapist · NPI 1336982115

Nicholas Ellefson, DPT is a Physical Therapist in Private Practice in Kirkwood, Missouri. Qualified in 2024, 2 years ago. Practices with Advanced Training and Rehab LLC, a 30-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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

333 S Kirkwood Rd Ste 201
Kirkwood, MO 63122-6161
Phone: (314) 909-4848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1336982115
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 18, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address14515 N Outer 40 Rd Ste 110, Chesterfield, MO 63017-5746

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Advanced Training And Rehab Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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