IndividualActive
Angela Ellison, LPTA
NPI 1174898134 · Physical Therapy Assistant · Saint Louis, MO
Provider details
- NPI number
- 1174898134
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- No
- License
- 116824 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1 Jefferson Barracks Dr
Building 53
Saint Louis, MO 63125-4181
Phone: (314) 652-4100
Approximate (ZIP-level) locationGet directions
Mailing address
1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181
Registry dates
- Enumerated
- 2012-03-09
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.