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Tyler Ellison, L.A.C
NPI 1508522640 · Acupuncturist · Waterford, CT
Tyler Ellison, L.A.C is a Acupuncturist provider in Waterford, CT (NPI 1508522640).
Provider details
- NPI number
- 1508522640
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- L.A.C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 846112 (CT)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
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
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
175 Boston Post Rd Ste 1
Waterford, CT 06385-2815
Phone: (860) 271-7354
Street-level locationGet directions
Mailing address
122 Foster St
New Haven, CT 06511-2655
Registry dates
- Enumerated
- 2021-11-12
- Last updated
- 2021-11-12
- Certified
- 2021-11-12
Frequently asked questions
- What is Tyler Ellison's NPI number?
- Tyler Ellison's National Provider Identifier (NPI) is 1508522640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Ellison's specialty?
- Tyler Ellison is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Tyler Ellison located?
- Tyler Ellison's practice location on file with NPPES is 175 Boston Post Rd Ste 1, Waterford, CT 06385-2815.
- What is Tyler Ellison's phone number?
- The practice phone number listed in the NPPES registry for Tyler Ellison is (860) 271-7354.
- Is Tyler Ellison's NPI active?
- Yes — Tyler Ellison's NPI (1508522640) is active in the NPPES registry as of the last update on 2021-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.