Michelle Lee Elrod, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2014011839 Issued in MO

Practice address

1800 White Columns Dr
Rolla, MO 65401-2044

Phone

(573) 364-7766

NPI assigned

Aug 26, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1376190108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14709 MARIES ROAD 518",
            "city": "VICHY",
            "state": "MO",
            "postal_code": "655807166",
            "telephone_number": "573-578-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WHITE COLUMNS DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012044",
            "telephone_number": "573-364-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELROD",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2014011839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stilianos Efstratiadis, M.D.
• James Wyatt Eikermann, DO
• Marilyn B Ekstam, RPH
• Frank M. Elders, D.O.
• Amanda C Eldridge, COTA/L
• Terrill Ann Emmett, FNP
• Empowered Therapy Services LLC
• Holly L. Erway, PA
• Nick Esparza
• Mitchell Duane Esquibel, D.D.S

• Physical Therapy Assistant in Rolla, MO
• Providers in Rolla, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.