JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS) – Sports Physical Therapist, NPI 1346210432

Sports Physical Therapist

JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS) is a healthcare provider. based in Mora, Minnesota. specializing in Sports Physical Therapist. They hold the professional credentials MSPT, SCS, ATC, CSCS. They hold a License No. 6749 (MN). The NPI Number for JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS) is 1346210432

Main info

Male

Name

JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS)

NPI

1346210432

Phone

(320) 225-3356

Address

301 HIGHWAY 65 S

Enumeration Date

23 January 2006

Last Update Date

9 July 2014

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS)

Super 6, Avenida Mariscal López, Laguna Grande, San Lorenzo, Central, Región Oriental, 111420, Paraguay
MORA, MN 550511899
Phone: (320) 225-3356
Fax: (320) 225-3370
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.

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Medicare Enrollment & Revalidation

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

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 55051)

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Reviews

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Frequently asked questions

Can I use this page to confirm JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS)'s NPI?

Yes. JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS) is listed with NPI 1346210432 in the public NPI dataset.

Can I rely on JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS) being an active provider?

As of the registry snapshot, JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS) is marked active.

What is JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS)'s specialty?

The listing groups JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS) with Sports Physical Therapist. Clinical services aligned with this taxonomy classification.

What address line appears for JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS)?

JACOB RYAN ELLINGSON (MSPT, SCS, ATC, CSCS)'s geographic hint is Mora, Minnesota in our summary view.

How many locations tie to this NPI?

2 practice locations appear in the available data.