Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shayla Ellingboe

Individual provider Physical Therapy Assistant · NPI 1770900987

Shayla Ellingboe is a Physical Therapy Assistant in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014

Practice location Address checks out

2195 N Summit Village Way
Oconomowoc, WI 53066-8675
Phone: (262) 567-4662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1917-19 (WI)

Record details

NPI number1770900987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

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