Beverly Elliott, DPT
Individual provider Active NPI Physical Therapist · Millington, TN
NPI 1003879818 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1003879818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6621 (TN)
- Practice address
- 8253 US Highway 51 N
Suite 102
Millington, TN 38053-1727 - Phone
- (901) 872-6422
- Fax
- (901) 872-6497
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6621 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leader Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Leader Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6621 | TN | Yes |
Addresses
Primary practice location
8253 US Highway 51 N
Suite 102
Millington, TN 38053-1727
Mailing address
3449 Northwood Dr
Memphis, TN 38111-4763
Phone (901) 452-2648
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00446628 | Medicaid | TN |
Other providers in Millington, TN
- Jose Calixto De la Pena
- Kristin Griffin Dixon
- Robin Elizabeth Dixon
- Courtney Dukes
- Walter Elias III
- Courtney Elliott
- Roger Ettehad
- Erin Eudaly
- Mary Angel Ewing
- Fast Pace Medical Clinic PLLC
All providers in Millington, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.