Provider Demographics
NPI:1093753139
Name:HELINSKI, ELLEN H (PT)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:H
Last Name:HELINSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8197 N 81ST ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-8750
Mailing Address - Country:US
Mailing Address - Phone:860-328-0384
Mailing Address - Fax:
Practice Address - Street 1:66 UNION SQ
Practice Address - Street 2:SUITE 204
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-3040
Practice Address - Country:US
Practice Address - Phone:617-666-9600
Practice Address - Fax:617-666-9601
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17087225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO505998Medicare ID - Type Unspecified