EMILY ROSE ELLERBROCK (PT, DPT) – Physical Therapist, NPI 1659883528

EMILY ROSE ELLERBROCK (PT, DPT) is a healthcare provider. based in Hoover, Alabama. specializing in Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. 3657 (NV). The NPI Number for EMILY ROSE ELLERBROCK (PT, DPT) is 1659883528

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
EMILY ROSE ELLERBROCK (PT, DPT)
NPI
1659883528
Phone
Not provided
Address
1200 CORPORATE DR STE 400
Enumeration Date
31 October 2017
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027984778
Graduation Year
2014 (12 years ago)
PAC ID
7012277312
Group Practice PAC ID
4284618083
Professional Enrollment ID
I20180206001388
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:8State licenses:5Digital endpointsOther names

Provider Addresses for EMILY ROSE ELLERBROCK (PT, DPT)

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone:

    Type: Mailing

  • 6410 S Virginia St

    Reno, NV 895111103

    Phone: (775) 322-5757

    Type: Location

  • 7819 Waynetowne Blvd

    Dayton, OH 454242063

    Phone: (937) 938-1583

    Fax: (937) 938-6723

    Type: Location

  • East Main Street, Tipp City, Miami County, Ohio, 45371, United States

    TIPP CITY, OH 453719741

    Phone: (937) 689-5898

    Type: Mailing

  • 12, Glendale Avenue, Sparks, Washoe County, Nevada, 89431, United States

    SPARKS, NV 894315777

    Phone: (775) 356-8181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220214000562IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes58986$0
97140Therapy procedure using manual technique, each 15 minutes45181$0
97530Therapy procedure using functional activities36276$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19652$0
97161Evaluation for physical therapy, typically 20 minutes2625$0
View full utilization report →

Insurance plans in this area (ZIP 35242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284618083View full group profile
NameSpecialtyState
-NV
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV

Reviews

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Frequently asked questions

Where can patients find EMILY ROSE ELLERBROCK (PT, DPT)'s NPI?
You can confirm EMILY ROSE ELLERBROCK (PT, DPT) with NPI 1659883528; it appears in the national provider directory.
Is EMILY ROSE ELLERBROCK (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does EMILY ROSE ELLERBROCK (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for EMILY ROSE ELLERBROCK (PT, DPT). Clinical services aligned with this taxonomy classification.
Where is EMILY ROSE ELLERBROCK (PT, DPT)'s primary listing?
We display Hoover, Alabama because that is what the record indicates for EMILY ROSE ELLERBROCK (PT, DPT).
How can I contact EMILY ROSE ELLERBROCK (PT, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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