Thomas Elledge Jr., PTA
NPI 1124651922ActiveIndividual· Physical Therapy Assistant· Orange Park, FL
Physical Therapy Assistant (PTA) in Orange Park, Florida, licensed in FL, with an NPI issued in February 2020.
Overview
| NPI | 1124651922 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Feb 20, 2020 |
| Last updated in NPPES | Feb 20, 2020 |
| Certified by provider | Feb 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA28999 | FL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physical therapist assistants in Orange Park
- 1639253669
- 1124719414
- 1578654570
- 1427504471
- 1164514592
- 1124907977
- 1821181256
- 1891533246
- 1568554962
- 1376327270
- 1902531098
- 1518294388
All 57 physical therapist assistants in Orange Park · All physical therapist assistants in Florida