Bruce Ellison, PT
NPI 1114621604 · Physical Therapist · Bay Shore, NY
Bruce Ellison, PT is a Physical Therapist provider in Bay Shore, NY (NPI 1114621604).
Provider details
- NPI number
- 1114621604
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 010457-01 (NY)
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 tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Frequently asked questions
- What is Bruce Ellison's NPI number?
- Bruce Ellison's National Provider Identifier (NPI) is 1114621604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bruce Ellison's specialty?
- Bruce Ellison is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bruce Ellison located?
- Bruce Ellison's practice location on file with NPPES is 1823 5th Ave, Bay Shore, NY 11706-1721.
- What is Bruce Ellison's phone number?
- The practice phone number listed in the NPPES registry for Bruce Ellison is (631) 291-9975.
- Is Bruce Ellison's NPI active?
- Yes — Bruce Ellison's NPI (1114621604) is active in the NPPES registry as of the last update on 2023-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.