Individual provider Active NPI

April Michelle Ellis, DPT

  • Physical Therapist
  • Southaven, MS
National Provider Identifier
1104263433
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5281 Issued in MS
Practice address
484 Church Rd E
Southaven, MS 38671-9714
Phone
(662) 349-2966
Fax
(662) 349-2966
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7976 SC
Physical Therapist 225100000X 5281 MS Primary
Physical Therapist 225100000X 9621 TN

Addresses

Primary practice location

484 Church Rd E
Southaven, MS 38671-9714

Mailing address

484 Church Rd E
Southaven, MS 38671-9714
Phone (662) 349-2966

Other practice location 1

4816 Riverdale Rd
Memphis, TN 38141-8529
Phone (901) 381-4664

Other names 1

  • Ms. April Michelle Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5281MSMDPhysical Therapist
7976SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group PC Physical Therapist Past Accepting new patients
Orthoone Sports Medicine & Orthopaedics, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1104263433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 CHURCH RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719714",
            "telephone_number": "662-349-2966",
            "fax_number": "662-349-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 CHURCH RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719714",
            "telephone_number": "662-349-2966",
            "fax_number": "662-349-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4816 Riverdale Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381418529",
            "country_code": "US",
            "telephone_number": "901-381-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "APRIL",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7976",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "5281",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "HARRIS",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.