OrganizationActive
John R. Ellis Massage, Inc.
NPI 1740433606 · Massage Therapist · Fort Myers, FL
Provider details
- NPI number
- 1740433606
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- John Ellis, Owner/President(239) 872-4641
- License
- MA40808 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
12621 New Brittany Blvd
Suite 17w
Fort Myers, FL 33907-3631
Phone: (239) 872-4641
Street-level locationGet directions
Mailing address
1801 Brantley Rd
Fort Myers, FL 33907-3994
Registry dates
- Enumerated
- 2008-10-23
- Last updated
- 2008-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.