Courtney Ellstrom, DPT
NPI 1104120054 · Physical Therapist · Beaumont, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Courtney Ellstrom, DPT is a Physical Therapist provider in Beaumont, CA (NPI 1104120054).
Provider details
- NPI number
- 1104120054
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT37207 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
2,292 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,089 | $23 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 379 | $20 |
| Therapy Procedure in a Group Setting97150 | 264 | $13 |
| Therapy Procedure Using Functional Activities97530 | 213 | $33 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 131 | $27 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 113 | $103 |
Practice location
Mailing address
Additional practice locations (1)
- 3191 Mission Inn Ave Ste BRiverside, CA 92507-4188Phone: (951) 376-2692Fax: (951) 684-2980
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2022-08-02
- Certified
- 2022-08-02
Frequently asked questions
- What is Courtney Ellstrom's NPI number?
- Courtney Ellstrom's National Provider Identifier (NPI) is 1104120054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Courtney Ellstrom's specialty?
- Courtney Ellstrom is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Courtney Ellstrom located?
- Courtney Ellstrom's practice location on file with NPPES is 1620 E Second St Ste Iandj, Beaumont, CA 92223-3171.
- What is Courtney Ellstrom's phone number?
- The practice phone number listed in the NPPES registry for Courtney Ellstrom is (951) 370-1325.
- Does Courtney Ellstrom accept Medicare?
- Courtney Ellstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Courtney Ellstrom's NPI active?
- Yes — Courtney Ellstrom's NPI (1104120054) is active in the NPPES registry as of the last update on 2022-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.