ELLEN MUNDIE-OTT (PT) – Physical Therapist, NPI 1558007641

ELLEN MUNDIE-OTT (PT) is a healthcare provider. based in Nashville, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1360228 (TX). The NPI Number for ELLEN MUNDIE-OTT (PT) is 1558007641

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN MUNDIE-OTT (PT)
NPI
1558007641
Phone
(615) 322-4751
Address
1500 Medical Center Dr
Enumeration Date
11 May 2022
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2022 (4 years ago)
PAC ID
6002296738
Group Practice PAC ID
1456740323
Professional Enrollment ID
I20241114000575
Address ID
TN372091577NA5016XBLVD301

Contacts

Main Contact
alexbonnette@gmail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

Provider Addresses for ELLEN MUNDIE-OTT (PT)

  • 1500 Medical Center Dr

    Nashville, TN 372324465

    Phone: (615) 322-4751

    Type: Location

  • 719 Thompson Ln Ste 31

    Nashville, TN 372043606

    Phone: (615) 343-9284

    Type: Location

  • 9660 BARTLETT CIR # 708

    FT WORTH, TX 761084465

    Phone: (817) 862-9665

    Fax: (817) 862-9667

    Type: Mailing

  • 9660 BARTLETT CIR STE 708

    FT WORTH, TX 761084465

    Phone: (817) 862-9665

    Fax: (817) 862-9667

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone: (615) 322-6842

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372324465

    Phone: (615) 322-5000

    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: 2024-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220712000547IPhysical Therapist In Private PracticeTXTBD
I20241114000575IPhysical Therapist In Private PracticeTNTBD

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 37232)

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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: 1456740323View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Is ELLEN MUNDIE-OTT (PT) listed with a National Provider Identifier?
Yes — ELLEN MUNDIE-OTT (PT) has NPI 1558007641 on file in the registry.
Is ELLEN MUNDIE-OTT (PT) shown as active in public data?
Registry records indicate ELLEN MUNDIE-OTT (PT) maintains an active NPI.
What clinical focus is listed for ELLEN MUNDIE-OTT (PT)?
At a glance, ELLEN MUNDIE-OTT (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Tennessee is ELLEN MUNDIE-OTT (PT) registered?
Use Nashville, Tennessee as the headline location for ELLEN MUNDIE-OTT (PT) here.
Can I trust this NPI listing for ELLEN MUNDIE-OTT (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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