Charles Michael Ellis, PT, ATC in Montgomery, AL - Medicare Physical Therapy Provider

Charles Michael Ellis, PT, ATC is a medicare enrolled "Physical Therapist" provider in Montgomery, Alabama. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Pro Impact Physical Therapy And Sports Performance, Llc and his current practice location is 2000 Berry Chase Pl, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 356-6453.

Charles Michael Ellis is licensed to practice in Alabama (license number PTH1388) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1134165343.

Contact Information

	Charles Michael Ellis, PT, ATC
	2000 Berry Chase Pl, Montgomery, AL 36117-6896
	(334) 356-6453
	(334) 239-8126

Map and Direction

Healthcare Provider's Profile

Full Name	Charles Michael Ellis
Gender	Male
Speciality	Physical Therapy
Experience	35 Years
Location	2000 Berry Chase Pl, Montgomery, Alabama
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Michael Ellis graduated from medical school in 1989

NPI Data:

NPI Number: 1134165343
Provider Enumeration Date: 06/22/2006
Last Update Date: 01/04/2022

Medicare PECOS Information:

PECOS PAC ID: 8820064298
Enrollment ID: I20050901000922

Medical Identifiers

Medical identifiers for Charles Michael Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134165343	NPI	-	NPPES
890013760	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTH1388 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pro Impact Physical Therapy And Sports Performance, Llc	2668518986	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Michael Ellis allows following entities to bill medicare on his behalf.

Provider Name	Health Care Authority For Baptist Health, An Affiliate Of Uabhs
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538

Provider Name	Pro Impact Physical Therapy And Sports Performance, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780813618 PECOS PAC ID: 2668518986 Enrollment ID: O20090930000136

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Michael Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charles Michael Ellis, PT, ATC 7449 Eastchase Pkwy, Ste 200, Montgomery, AL 36117-6846 Ph: (334) 747-4030	Charles Michael Ellis, PT, ATC 2000 Berry Chase Pl, Montgomery, AL 36117-6896 Ph: (334) 356-6453

Reviews and Comments

Physical Therapist in Montgomery, AL

Mrs. Tonquita Knott Hampton, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 207 Montgomery St Apt 803, Montgomery, AL 36104 Phone: 586-646-0035
Jennifer Turner, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Interstate Park Dr, Suite 324, Montgomery, AL 36109 Phone: 334-272-0313
Laurie Applegate, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 242 Winton M Blount Loop, Montgomery, AL 36117 Phone: 334-279-5015 Fax: 334-279-5028
Benchmark Physical Therapy Of Alabama, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7040 Atlanta Hwy, Montgomery, AL 36117 Phone: 334-721-6500 Fax: 334-721-6501
Therapy South - Carmichael Road Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4142 Carmichael Rd Ste B, Montgomery, AL 36106 Phone: 334-839-5070
Ms. Tiffany B Higginbotham, MSPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 6715 Taylor Ct, Montgomery, AL 36117 Phone: 334-396-2110 Fax: 334-396-2115
Pt Solutions Management, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7057 Halycon Summit Drive, Montgomery, AL 36117 Phone: 334-625-5809 Fax: 334-271-2555

Charles Michael Ellis, PT, ATC - Medicare Physical Therapist in Montgomery, AL