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

Thomas Ellis, DPT

Individual provider Physical Therapist · NPI 1609514330

Thomas Ellis, DPT is a Physical Therapist in Private Practice in Dyersburg, Tennessee. Qualified in 2022, 4 years ago. Practices with Star Physical Therapy LP, an 18-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2035 Saint John Ave Ste 2
Dyersburg, TN 38024-2247
Phone: (731) 325-5515
Fax: (731) 325-5517
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14155 (TN)

Record details

NPI number1609514330
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing addressPo Box 681478, Franklin, TN 37068-1478

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Star Physical Therapy Lp — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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