Angela Shew Elledge, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6007 Issued in NC

Practice address

206 Old Brickyard Rd
North Wilkesboro, NC 28659-8971

Phone

(336) 667-2211

NPI assigned

Jul 9, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broad River Rehabilitation

  dba Broad River Rehab

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1073403077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 OLD BRICKYARD RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598971",
            "telephone_number": "336-667-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 OLD BRICKYARD RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598971",
            "telephone_number": "336-667-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEDGE",
        "first_name": "ANGELA",
        "middle_name": "SHEW",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Ucp North Carolina & Virginia, Inc.
• Ebenezer Christian Childrens Home
• Eckerd Corporation (Rite Aid Pharmacy 11554)
• Ginna Edwards, PA-C
• Elevate Chiropractic and Performance Therapy PLLC
• Aletha Poplin Eller, PHARMD
• Connie Hall Eller, RN
• Cynthia Randall Eller, NP
• Jennifer Higgins Eller, MA CCC-SLP
• Stephanie Juanita Eller, CADC

• Occupational Therapist in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.