Ted Ellquist, Pt

NPI: 1053422485

Ted Ellquist, Pt

Q: What is Ted Ellquist, Pt's NPI number?

Ted Ellquist, Pt's NPI number is 1053422485, a unique 10-digit identifier issued by CMS.

Q: What does Ted Ellquist, Pt specialize in?

Ted Ellquist, Pt specializes in Specialty not listed, taxonomy code 261QP2000X.

Q: Where does Ted Ellquist, Pt practice?

Ted Ellquist, Pt practices in Santa Rosa, CA 95404-2207.

Q: When was Ted Ellquist, Pt's NPI issued?

Ted Ellquist, Pt's NPI was issued on August 31, 2006.

Q: What is Ted Ellquist, Pt's provider type?

Ted Ellquist, Pt is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: August 31, 2006

Quick Facts

NPI Number

1053422485

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy261QP2000X — Specialty not listed

Phone

(503) 358-8278

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1053422485)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 31, 2006)

Data source: CMS NPPES

Provider Overview

TED ELLQUIST, PT is a Healthcare provider based in Santa Rosa, CA who has been registered with CMS since 2006. They are affiliated with Ted Ellquist, Pt. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1053422485

Provider TypeOrganization

StatusActive

Enumeration DateAugust 31, 2006

Practice Location

CitySanta Rosa

StateCA

ZIP Code95404-2207

Phone(503) 358-8278

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code261QP2000X

License StateCA

Mailing Address

CitySanta Rosa

StateCA

ZIP Code95404-2207

Phone(503) 358-8278

Same as practice location

Hospital & Organization Affiliations

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Ted Ellquist, Pt

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How to Use This NPI

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For Insurance Billing

Use NPI 1053422485 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1053422485for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1053422485 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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