Heather Renee Ellis, PT, DPT in Griffin, GA - Medicare Physical Therapist In Private Practice Provider

Heather Renee Ellis, PT, DPT is a medicare enrolled "Physical Therapist" provider in Griffin, Georgia. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Independent Physical Therapy Of Ga, Llc, Agilitas Usa, Inc, Agilitas Usa, Inc, Agilitas Usa, Inc and her current practice location is 1438 Highway 16 W Ste C, Griffin, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 233-0350.

Heather Renee Ellis is licensed to practice in Georgia (license number PT013604) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053898759.

Contact Information

	Heather Renee Ellis, PT, DPT
	1438 Highway 16 W Ste C, Griffin, GA 30223-2096
	(770) 233-0350
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Heather Renee Ellis
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	7 Years
Location	1438 Highway 16 W Ste C, Griffin, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Heather Renee Ellis graduated from medical school in 2018

NPI Data:

NPI Number: 1053898759
Provider Enumeration Date: 07/25/2018
Last Update Date: 07/29/2025

Medicare PECOS Information:

PECOS PAC ID: 0648522185
Enrollment ID: I20181010002210

Medical Identifiers

Medical identifiers for Heather Renee Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053898759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP024110T (Ohio)	Secondary
225100000X	Physical Therapist	CP022961T (North Carolina)	Secondary
225100000X	Physical Therapist	CP030242T (South Carolina)	Secondary
225100000X	Physical Therapist	CP022960T (Virginia)	Secondary
225100000X	Physical Therapist	T-W0035-3 (Kansas)	Secondary
225100000X	Physical Therapist	15271 (Tennessee)	Secondary
225100000X	Physical Therapist	PT013604 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Independent Physical Therapy Of Ga, Llc	2961312244	501
Agilitas Usa, Inc	3375454648	710
Agilitas Usa, Inc	3375454648	710
Agilitas Usa, Inc	3375454648	710

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. Heather Renee Ellis allows following entities to bill medicare on her behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Provider Name	Benchmark Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120

Provider Name	Agilitas Usa, Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281

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. Heather Renee 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
Heather Renee Ellis, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () -	Heather Renee Ellis, PT, DPT 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 Ph: (770) 233-0350

Reviews and Comments

Physical Therapist in Griffin, GA

Rainbow Rehab, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Futral Rd, Griffin, GA 30224 Phone: 678-429-0272 Fax: 678-289-8535
David James Mcmurtry, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1438 Highway 16 W, Ste C, Griffin, GA 30223 Phone: 770-233-0350 Fax: 770-233-0370
Jeremy Duane Houser, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 680 S 9th St Ste A, Griffin, GA 30224 Phone: 707-229-6141
Lina Basil Dahman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1438 Highway 16 W Ste C, Griffin, GA 30223 Phone: 770-233-0350 Fax: 770-233-0370
Miranda Campbell, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 W College St Ste D, Griffin, GA 30224 Phone: 770-233-1800
Christa Cook, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 19 41 S, Griffin, GA 30224 Phone: 770-229-6498 Fax: 770-229-6958

Heather Renee Ellis, PT, DPT - Medicare Physical Therapist in Griffin, GA