IndividualActive
Adrienne Ellis, PTA
NPI 1669240917 · Physical Therapy Assistant · Montgomery, AL
Provider details
- NPI number
- 1669240917
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA10190 (AL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2221 Sagewood Dr
Montgomery, AL 36117-2428
Phone: (334) 507-4250
Approximate (ZIP-level) locationGet directions
Mailing address
2221 Sagewood Dr
Montgomery, AL 36117-2428
Registry dates
- Enumerated
- 2023-12-15
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.