JENNA RENEE ELLIS (DPT) – Physical Therapist, NPI 1437470044

JENNA RENEE ELLIS (DPT) is a healthcare provider. based in Sarasota, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT25565 (FL). The NPI Number for JENNA RENEE ELLIS (DPT) is 1437470044

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNA RENEE ELLIS (DPT)
NPI
1437470044
Phone
(941) 922-8200
Address
5968 Clark Center Ave
Enumeration Date
17 June 2010
Last Update Date
8 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413601988107
Graduation Year
2010 (16 years ago)
PAC ID
9335271089
Group Practice PAC ID
4385619154
Professional Enrollment ID
I20100716000134
Address ID
FL342432401SA2970XPKWY301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JENNA RENEE ELLIS (DPT)

  • 5968 Clark Center Ave

    Sarasota, FL 342382715

    Phone: (941) 922-8200

    Fax: (941) 343-9402

    Type: Location

  • 6397 KYLIE CREEK WAY

    SARASOTA, FL 342408589

    Phone: (941) 915-3507

    Fax: (941) 343-9402

    Type: Mailing

  • 2970 UNIVERSITY PKWY STE 105

    SARASOTA, FL 342432401

    Phone: (941) 360-1988

    Fax: (941) 360-1998

    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: 2010-07-16

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
I20100716000134IPhysical Therapist In Private PracticeFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34238)

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Provider's Procedures

JENNA RENEE ELLIS (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97001Physical therapy evaluation2626

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: 4385619154View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeMI
-FL

Reviews

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Frequently asked questions

What federal number belongs to JENNA RENEE ELLIS (DPT)?
The federal identifier for JENNA RENEE ELLIS (DPT) is NPI 1437470044.
Is JENNA RENEE ELLIS (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JENNA RENEE ELLIS (DPT) work in?
You can think of JENNA RENEE ELLIS (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for JENNA RENEE ELLIS (DPT)?
We surface Sarasota, Florida for JENNA RENEE ELLIS (DPT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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