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Jay T Ellis, PT, DPT, CSCS

Contractor in Idaho Falls, ID · enumerated 2006.

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

National Provider Identifier

1811924012

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Registry record

Entity type Individual (Type 1)
Name Jay T Ellis
Credential PT, DPT, CSCS
Sex Male
Practice address 3100 S Woodruff Ave, Idaho Falls, ID, 83404
Fax (208) 523-0436
Enumeration date Jun 26, 2006
Last updated in NPPES Mar 4, 2011

Taxonomy & licenses

171W00000X Contractor Other Service Providers · License RPT231 (ID) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

Other identifiers

Identifier Type State Issuer
316942 Other ID BLUE SHIELD
804274500 Medicaid ID -
T0742 Other ID BLUE CROSS OF IDAHO

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

What is the NPI number for Jay T Ellis?
The National Provider Identifier (NPI) for Jay T Ellis is 1811924012, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jay T Ellis practice?
The practice location on file with NPPES is in Idaho Falls, ID. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-04.