Ellyn Barrita Obra, RPT
Individual provider Active NPI Physical Therapist · Sterling Heights, MI
NPI 1215159587 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215159587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501011973 (MI)
- Practice address
- 14560 Lakeside Circle
Sterling Heights, MI 48313 - Phone
- (586) 247-3220
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011973 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011973 | MI | Yes |
Addresses
Primary practice location
14560 Lakeside Circle
Sterling Heights, MI 48313
Mailing address
37764 Irene Dr
Sterling Heigjhts, MI 48312
Other providers in Sterling Heights, MI
- Oakland Medical Group PC
- Oakland Oral Surgery Associates
- Waseem Obeid
- Agatha Yvonne Obertynski
- Edsel D Obra
- Occupational Health Centers of Michigan PC
- Occupational Health Centers of Michigan, PC
- Karina Lynn Ochss
- Zayd Odeh
- Darryl Ogletree
All providers in Sterling Heights, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.