Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Kelly Wynell Ellis, PTA

Q: What is the NPI number for Kelly Ellis?

The National Provider Identifier (NPI) for Kelly Ellis is 1205455789, a Type 1 (individual) record in the CMS NPPES registry.

Physical Medicine & Rehabilitation Physician in Toledo, OH · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205455789

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Registry record

Entity type Individual (Type 1)

Name Mr. Kelly Wynell Ellis

Credential PTA

Sex Male

Practice address 5502 San Juan Dr, Toledo, OH, 43612

Phone (419) 410-7741

Enumeration date Apr 14, 2020

Last updated in NPPES Apr 14, 2020

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License PTA007644 (OH) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kelly Ellis practice?

The practice location on file with NPPES is in Toledo, OH. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kelly Ellis?

The National Provider Identifier (NPI) for Kelly Ellis is 1205455789, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-14.