IndividualActive
Elizabeth Ennis, PT, PCS
NPI 1174595789 · Pediatric Physical Therapist · Jacksonville, FL
Provider details
- NPI number
- 1174595789
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, PCS
- Sex
- Female
- Sole proprietor
- No
- License
- 38746 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12638 Chapeltown Cir W
Jacksonville, FL 32225-5303
Phone: (502) 296-2430
Approximate (ZIP-level) locationGet directions
Mailing address
12638 Chapeltown Cir W
Jacksonville, FL 32225-5303
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.