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

Shayla Ellingboe

Individual provider Physical Therapy Assistant · NPI 1770900987

Shayla Ellingboe is a Physical Therapy Assistant in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014

Practice location Address checks out

2195 N Summit Village Way
Oconomowoc, WI 53066-8675
Phone: (262) 567-4662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1917-19 (WI)

Record details

NPI number1770900987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address937 Howard St, Waukesha, WI 53188-5603

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