Robert Ray Ellis, DPT
NPI 1881945566ActiveIndividual· Physical Therapist· Diberville, MS
Physical Therapist (DPT) with Dynamic Rehabilitation Services, LLC, practicing in Diberville, Mississippi. Medicare paid $17,502 for services to 34 patients in 2024.
Overview
| NPI | 1881945566 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2012 |
| Last updated in NPPES | Dec 15, 2023 |
| Certified by provider | Dec 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT5070 | MS |
| Military Health Care Provider | 171000000X | PT5070 | MS |
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 (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 1,093 across 8 procedure codes |
| Paid by Medicare | $17,502 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Dynamic Rehabilitation Services, LLCDiberville, MS · 7 clinicians
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All 17 physical therapists in Diberville · All physical therapists in Mississippi