Gary Ellis
NPI 1114690187 · Rehabilitation Practitioner · Fresno, CA
Provider details
- NPI number
- 1114690187
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Community Health Worker172V00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
Additional practice locations (4)
- 114 S Brawley AveFresno, CA 93706-2103Phone: (559) 443-2166
- 2142 N Blythe AveFresno, CA 93722-5402Phone: (559) 271-8421
- 7171 W Rialto AveFresno, CA 93723-9407Phone: (559) 271-8421
- 3793 N Polk AveFresno, CA 93722-9763Phone: (559) 271-1206
Registry dates
- Enumerated
- 2021-07-27
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.