Dr Peter Mark Anthony Ellison Jr, DPT - Medicare Physical Therapist in Wallingford, CT

Dr Peter Mark Anthony Ellison Jr, DPT is a medicare enrolled "Physical Therapist" provider in Wallingford, Connecticut. His current practice location is 850 N Main Street Ext # 3b, Wallingford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 265-3790.

Dr Peter Mark Anthony Ellison Jr is licensed to practice in Connecticut (license number 14200) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184359879.

Contact Information

Dr Peter Mark Anthony Ellison Jr, DPT
850 N Main Street Ext # 3b,
Wallingford, CT 06492-2400
(203) 265-3790
(203) 265-2120

Map and Direction




Healthcare Provider's Profile

Full NameDr Peter Mark Anthony Ellison Jr
GenderMale
SpecialityPhysical Therapist
Location850 N Main Street Ext # 3b, Wallingford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184359879
  • Provider Enumeration Date: 07/18/2022
  • Last Update Date: 05/07/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9133503253
  • Enrollment ID: I20220908001307

Medical Identifiers

Medical identifiers for Dr Peter Mark Anthony Ellison Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184359879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 14200 (Connecticut)Primary

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. Dr Peter Mark Anthony Ellison Jr allows following entities to bill medicare on his behalf.
Provider NameWestchester Medical Group, P.c
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881653822
PECOS PAC ID: 6406752963
Enrollment ID: O20031208000533
Provider NameProfessional Occupational & Physical Therapy, Pllc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1205296902
PECOS PAC ID: 3779873401
Enrollment ID: O20160608000715
Provider NameEmpowerment Physical Therapy Pllc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1124525357
PECOS PAC ID: 9436483864
Enrollment ID: O20190619000217

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. Dr Peter Mark Anthony Ellison Jr 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 AddressPractice Location Address
Dr Peter Mark Anthony Ellison Jr, DPT
Po Box 866308,
Plano, TX 75086-6308

Ph: (347) 310-8857
Dr Peter Mark Anthony Ellison Jr, DPT
850 N Main Street Ext # 3b,
Wallingford, CT 06492-2400

Ph: (203) 265-3790

Reviews and Comments


Physical Therapist in Wallingford, CT

Joseph Rivieccio, PT, DPT, OCS
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Medicare: Not Enrolled in Medicare
Practice Location: 101 N Plains Industrial Rd, Wallingford, CT 06492
Phone: 203-817-0196    
Isabella Mesturini, DPT
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Medicare: Accepting Medicare Assignments
Practice Location: 863 N Main Street Ext Ste 200, Wallingford, CT 06492
Phone: 203-265-3280    
Stacey Lynn Stokes, RPT, ATC
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Medicare: Not Enrolled in Medicare
Practice Location: 101 N Plains Industrial Rd, Wallingford, CT 06492
Phone: 203-265-0018    Fax: 203-265-4368
Jessica L Cronk, PT
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Medicare: Accepting Medicare Assignments
Practice Location: 185 Center St Ste E, Wallingford, CT 06492
Phone: 203-514-9787    
Amy F Vumback, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 22 Masonic Ave, Wallingford, CT 06492
Phone: 203-679-6273    Fax: 203-679-6142
Jamie Lynn Pedersen, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 104 S Turnpike Rd, Wallingford, CT 06492
Phone: 888-679-9997    
Colleen Anderson, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Marc Dr, Wallingford, CT 06492
Phone: 203-265-0981    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.