MEDICARE: ELLIA CIAMMAICHELLA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P0301X	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	200818	AK
2	208100000X	Physical Medicine & Rehabilitation Physician	11273456-1204	UT
3	208100000X	Physical Medicine & Rehabilitation Physician	22251	CA
4	208100000X	Physical Medicine & Rehabilitation Physician	MED-PHYS-COM-LIC-117	MT
5	2081P0301X	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	OP61074874	WA
6	2081P0301X	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	DO2977	NV
7	2081P0301X	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	11273456-1204	UT
8	2081P0004X	Spinal Cord Injury Medicine Physician	DO2977	NV
9	2081P0301X	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	O-1775	ID
10	208100000X	Physical Medicine & Rehabilitation Physician	DO2977	NV
11	208100000X	Physical Medicine & Rehabilitation Physician	OP61074874	WA
12	208100000X	Physical Medicine & Rehabilitation Physician	O-1775	ID
13	208100000X	Physical Medicine & Rehabilitation Physician	200818	AK
14	208100000X	Physical Medicine & Rehabilitation Physician	CDR.0004654	CO

General Provider Information

NPI Number	:	1669821260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIA CIAMMAICHELLA DO

Provider Business Mailing Address
First Line	:	5150 MAE ANNE AVE STE 405
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-1859
Country	:	US
Telephone Number	:	775-902-6917
Fax Number	:	775-490-0151

Provider Business Practice Location Address
First Line	:	5150 MAE ANNE AVE STE 405
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-1859
Country	:	US
Telephone Number	:	408-857-3395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	11/24/2025

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