Individual provider Active NPI

Elena Athans, DPT

  • Physical Therapist
  • Holt, MI
National Provider Identifier
1295204386
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018967 Issued in MI
Practice address
2040 Aurelius Rd Ste 5
Holt, MI 48842-1367
Phone
(517) 268-9040
Fax
(517) 268-9042
NPI assigned
Nov 19, 2018
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018967 MI Primary

Addresses

Primary practice location

2040 Aurelius Rd Ste 5
Holt, MI 48842-1367

Mailing address

206 Page Ave
Jackson, MI 49201-2418
Phone (517) 783-6670

Other names 1

  • Elena Mikelonis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102003161 MI Practitioner - Physical Therapist in Private Practice 2769727221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Physical Therapy Specialists LLCGroup PAC ID 4880020585, 3 clinicians

Practice addresses (Care Compare)

2740 E Lansing Dr
Suite B
East Lansing, MI 48823-2898
Phone (517) 318-6066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018967MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Physical Therapy Specialists, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

2740 E Lansing Dr
Ste B
East Lansing, MI 48823
Phone (517) 318-6066

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1295204386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PAGE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012418",
            "telephone_number": "517-783-6670",
            "fax_number": "517-783-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 AURELIUS RD STE 5",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421367",
            "telephone_number": "517-268-9040",
            "fax_number": "517-268-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANS",
        "first_name": "ELENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "MIKELONIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.