Elise Pellett, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299075 Issued in CA

Practice address

3717 Mt Diablo Blvd
Lafayette, CA 94549-3588

Phone

(925) 284-5300

NPI assigned

Sep 8, 2020

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Wayne State University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  Medicare reassignment Care Compare group NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1467329904
  NPD
• Pacific Brain & Spine Med GRP Inc

  • Neurological Surgery Physician
  • Castro Valley, CA
  • NPI 1023075678
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1124633060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 MT DIABLO BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493547",
            "telephone_number": "925-284-5300",
            "fax_number": "925-284-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 MT DIABLO BLVD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493588",
            "telephone_number": "925-284-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1628 B St",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945413020",
            "country_code": "US",
            "telephone_number": "510-582-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETT",
        "first_name": "ELISE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivam Parmar
• Vibhuti Patel, DDS
• Nicole E Patterson
• Laura Payton
• Peak to Peak Physical Therapy
• James Earl Pennington, M.D.
• Jessica Perkins
• Heidi P Perryman, PH.D.
• Persons Plastic Surgery, Inc.
• Barbara L. Persons, M.D.

• Physical Therapist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.