ZACHARY RAYMOND ELLIS (DPT) – Physical Therapist, NPI 1134630536

Physical Therapist

ZACHARY RAYMOND ELLIS (DPT) is a healthcare provider. based in Tomah, Wisconsin. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 13767-24 (WI). The NPI Number for ZACHARY RAYMOND ELLIS (DPT) is 1134630536

Main info

Male

9 Years Of Experience

Accepts Medicare Assignment

Name

ZACHARY RAYMOND ELLIS (DPT)

NPI

1134630536

Phone

(608) 567-2102

Address

1505 BUTTS AVE

Enumeration Date

12 October 2017

Last Update Date

12 October 2017

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8004446845

Graduation Year

2017 (9 years ago)

PAC ID

3072861376

Group Practice PAC ID

5193036432

Professional Enrollment ID

I20180802001940

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness75

Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for ZACHARY RAYMOND ELLIS (DPT)

1505, Butts Avenue, Tomah, Monroe County, Wisconsin, 54660, United States
TOMAH, WI 546602405
Phone: (608) 567-2102
Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 54660)

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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: 5193036432View full group profile

Name	Specialty	State
MRS. CAROLINE M KEANE (PT)	-	MO
DHARA SHAH	-	AL
DEREK PEAKE (DPT)	-	IL
MRS. MARTHA LOUISE ADAMS (MA,CCC-SLP)	Qualified Speech Language Pathologist	FL
ANN KELLY SCHNITZMEIER (OTR/L)	-	MO
CLINT CTIBOR	Occupational Therapist In Private Practice	UT
KIMBERLY NOWAK (PT)	Physical Therapist In Private Practice	WI
ANDREA LYNN WILSON (MS-CCC/SLP)	-	WI
MRS. SUSAN GASPARRI (PT)	-	WI
KATHRYN HARRIS (DPT)	-	FL

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Frequently asked questions

What is the standard ID for ZACHARY RAYMOND ELLIS (DPT) in the U.S.?

In the U.S., ZACHARY RAYMOND ELLIS (DPT) is identified by NPI 1134630536.

Is ZACHARY RAYMOND ELLIS (DPT) currently accepting referrals based on NPI status?

Registry metadata lists ZACHARY RAYMOND ELLIS (DPT) as active.

What does the directory say ZACHARY RAYMOND ELLIS (DPT) does?

Insurance directories may phrase it differently, but here ZACHARY RAYMOND ELLIS (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.

Which community is linked to ZACHARY RAYMOND ELLIS (DPT)?

ZACHARY RAYMOND ELLIS (DPT) shows a connection to Tomah, Wisconsin in registry-derived data.

Can I export ZACHARY RAYMOND ELLIS (DPT)'s record?

You can download the official NPPES record; we summarize key fields for readability.