Active NPI
April Michelle Ellis, DPT
- Physical Therapist
- Southaven, MS
National Provider Identifier
1104263433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5281 | MS | MD | Physical Therapist |
| 7976 | SC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Collierville, TN
- NPI 1710229018
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.