NPI age
19 years
Enumerated 2006-06-26
● Active
Type 1 · Individual
Jay T Ellis, PT, DPT, CSCS
Ellis is 1 of 4 contractor providers in Idaho Falls and 1 of 20 in Idaho.
Primary specialty
Contractor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 20 active contractor providers in Idaho.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
3100 S Woodruff Ave
Idaho Falls, ID 834048310
Mailing address
Po Box 1463
Idaho Falls, ID 834031463
Specialties
-
Contractor PrimaryFor the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 316942 | BLUE SHIELD |
| 05 (ID) | 804274500 | |
| 01 (ID) | T0742 | BLUE CROSS OF IDAHO |
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.