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Mr. Jack W Ellertson, PHYSICAL THERAPIST

Physical Therapist in Chambersburg, PA · enumerated 2006.

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

National Provider Identifier

1669418489

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Registry record

Entity type Individual (Type 1)
Name Mr. Jack W Ellertson
Credential PHYSICAL THERAPIST
Sex Male
Practice address 1035 Wayne Ave, Chambersburg, PA, 17201
Phone (717) 264-6211
Fax (717) 264-9816
Enumeration date Jun 21, 2006
Last updated in NPPES Jul 9, 2012

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PTO16235 (PA) Primary

Other identifiers

Identifier Type State Issuer
ELI1783757 Other PA BLUE SHIELD
ELI1783757 Other PW FEDERAL BLUE SHIELD
50056652 Other PA CROSS

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.

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Frequently asked questions

Where does Jack Ellertson practice?
The practice location on file with NPPES is in Chambersburg, PA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jack Ellertson?
The National Provider Identifier (NPI) for Jack Ellertson is 1669418489, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-09.