Heather Renee Ellis, PT, DPT
NPI 1053898759ActiveIndividual· Physical Therapist· Griffin, GA
Physical Therapist (PT, DPT) with Independent Physical Therapy of Georgia, LLC and 1 other group, practicing in Griffin, Georgia. Medicare paid $52,765 for services to 136 patients in 2024.
Overview
| NPI | 1053898759 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jul 25, 2018 |
| Last updated in NPPES | Jul 29, 2025 |
| Certified by provider | Jul 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT013604 | GA |
| Physical Therapist | 225100000X | CP024110T | OH |
| Physical Therapist | 225100000X | CP022961T | NC |
| Physical Therapist | 225100000X | CP030242T | SC |
| Physical Therapist | 225100000X | CP022960T | VA |
| Physical Therapist | 225100000X | T-W0035-3 | KS |
| Physical Therapist | 225100000X | 15271 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA); Practitioner - Physical Therapist in Private Practice (KS); Practitioner - Physical Therapist in Private Practice (NC); Practitioner - Physical Therapist in Private Practice (OH); Practitioner - Physical Therapist in Private Practice (SC); Practitioner - Physical Therapist in Private Practice (TN); Practitioner - Physical Therapist in Private Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 136 |
|---|---|
| Services billed | 2,738 across 9 procedure codes |
| Paid by Medicare | $52,765 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Independent Physical Therapy of Georgia, LLCMonroe, GA · 531 clinicians
- Laboratory Fitness LLCPeachtree City, GA · 50 clinicians
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All 39 physical therapists in Griffin · All physical therapists in Georgia