Ellisiv Lien, MD

Physical medicine and rehabilitation physician in Tyler, Texas · NPI 1265670749

Ellisiv Lien is one of 16 physical medicine and rehabilitation physicians practicing in Tyler, Texas. Ellisiv Lien practices with Charles R Gordon MD PA.

Registry record (NPPES)

NPI: 1265670749
Type: Type 1 · Individual
Primary taxonomy: Physical Medicine & Rehabilitation · 208100000X
Address on file: 2737 S Broadway Ave
Tyler, TX 75701-5413
(903) 592-6000
Enumerated: Jan 22, 2009
Record last updated: Jan 31, 2019
License states listed: TX

Medicare (CMS)

Enrollment: Medicare-enrolled in TX
Physical Medicine and Rehabilitation
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

2737 S Broadway Ave
Tyler, TX 75701
(903) 592-6000

More physical medicine and rehabilitation physicians in Tyler

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.