Elissa Gumiran Layson
Individual provider Active NPI Physical Therapist · Murphysboro, IL
NPI 1659989622 · NPPES record last updated Jul 16, 2020
Key facts
- NPI
- 1659989622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.023339 (IL)
- Practice address
- 6 E Shawnee Dr
Murphysboro, IL 62966-7048 - Phone
- (618) 684-8018
- Fax
- (618) 684-3328
- NPI assigned
- Jul 16, 2020
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.023339 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.023339 | IL | Yes |
Addresses
Primary practice location
6 E Shawnee Dr
Murphysboro, IL 62966-7048
Mailing address
6 E Shawnee Dr
Murphysboro, IL 62966-7048
Phone (618) 684-8018
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elissa.layson@sih.net | Health Information Exchange (HIE) |
Other providers in Murphysboro, IL
- Kroger Limited Partnership I
- Thomas William Kupferer
- Valerie Ann Kupferer
- Kenneth David Kussin
- Laboratory Corporation of America
- Peggy L Legan
- Stacey A Leithliter
- Lifenet, Inc.
- Linda Edwards
- Little Fern Therapy, PLLC
All providers in Murphysboro, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2020. 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.