Michelle Ellis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012070 Issued in MI

Practice address

44800 Delco Blvd
Sterling Heights, MI 48313-1026

Phone

(586) 726-6400

NPI assigned

Aug 17, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT Holdings LLCGroup PAC ID 4688679293, 170 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 and National Provider Directory roles.

• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  MI

  Medicare reassignment Care Compare group NPD
• Henry Ford Health System

  • Rehabilitation Hospital Unit
  • Sterling Heights, MI
  • NPI 1336235498
  NPD (past)
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1326714767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 HOLLOW CORNERS RD",
            "city": "DRYDEN",
            "state": "MI",
            "postal_code": "484289725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44800 DELCO BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131026",
            "telephone_number": "586-726-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12150 30 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MI",
            "postal_code": "480952035",
            "country_code": "US",
            "telephone_number": "586-336-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80650 Van Dyke Rd",
            "address_purpose": "LOCATION",
            "city": "Bruce Twp",
            "state": "MI",
            "postal_code": "480651333",
            "country_code": "US",
            "telephone_number": "810-798-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "5501012070",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "44800 Delco Blvd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483131026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frank Mark Ellero, D.D.S.
• Sara Elliott
• Ashley Ellis
• Davanique Ellis
• Erica S Ellis
• Rana Elsamadouny
• Aisan Jonel Elum
• Madeline Embrey
• Emil Sitto MD PC
• Empower Shecolbys Movement LLC

• Physical Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.