Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
TIMOTHY EDWARD ELLIS
Active
Individual
TIMOTHY EDWARD ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P7894
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078GJ
BCBS
NC
01
—
2504001
MEDICARE - TYPE UNSPECIFIED
NC
Enumeration date
09/15/2005
Last updated
02/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up