IndividualActive
Jay T Ellis, PT, DPT, CSCS
NPI 1811924012 · Contractor · Idaho Falls, ID
Jay T Ellis, PT, DPT, CSCS is a Contractor provider in Idaho Falls, ID (NPI 1811924012).
Provider details
- NPI number
- 1811924012
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- PT, DPT, CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- RPT231 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3100 S Woodruff Ave
Idaho Falls, ID 83404-8310
Phone: (208) 523-8879
Fax: (208) 523-0436
Street-level locationGet directions
Mailing address
Po Box 1463
Idaho Falls, ID 83403-1463
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2011-03-04
Frequently asked questions
- What is Jay T Ellis's NPI number?
- Jay T Ellis's National Provider Identifier (NPI) is 1811924012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay T Ellis's specialty?
- Jay T Ellis is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Jay T Ellis located?
- Jay T Ellis's practice location on file with NPPES is 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310.
- What is Jay T Ellis's phone number?
- The practice phone number listed in the NPPES registry for Jay T Ellis is (208) 523-8879.
- Is Jay T Ellis's NPI active?
- Yes — Jay T Ellis's NPI (1811924012) is active in the NPPES registry as of the last update on 2011-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.