Healthcare Provider Details

I. General information

NPI: 1790614410
Provider Name (Legal Business Name): ELLE MCNEILL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MASSACHUSETTS AVE NW STE C500
WASHINGTON DC
20001-5562
US

IV. Provider business mailing address

1643 NEW JERSEY AVE NW APT 2
WASHINGTON DC
20001-2469
US

V. Phone/Fax

Practice location:
  • Phone: 202-808-9496
  • Fax:
Mailing address:
  • Phone: 804-402-2544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: