Michelle C Ellison, P. T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

MS PT0747 Issued in MS

Practice address

276 Nissan Pkwy
Suite 400, BLDG F
Canton, MS 39046-7006

Phone

(601) 859-3776

Fax

(601) 859-3778

NPI assigned

Oct 19, 2006

Last updated

Dec 28, 2016By the provider in NPPES

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 names 1

• Mrs. Michelle C Lee Professional name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

5 Star Performance Center, LLCGroup PAC ID 3577815372, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 5 Star Performance Center, LLC

  • Physical Therapy Clinic/Center
  • Flowood, MS
  • NPI 1689150054

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dpti Elite Physical Therapy LLC

  • Physical Therapist
  • Saltillo, MS
  • NPI 1386010718
  Medicare reassignment NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448
  Medicare reassignment NPD
• Ridgeland Sports Medicine & Rehab, Inc

  • Physical Therapy Clinic/Center
  • Ridgeland, MS
  • NPI 1871689851
  NPD (past) Authorized official
• Dpti Elite Physical Therapy LLC

  • Physical Therapist
  • Baldwyn, MS
  • NPI 1013383496
  NPD
• Medicomp, Inc

  dba Mdicomp Physical Therapy Flowood

  • Physical Therapist
  • Magee, MS
  • NPI 1548305360
  NPD
• Drayer Physical Therapy Institute LLC

  dba Rehab At Work

  • Physical Therapist
  • Columbus, MS
  • NPI 1073859807
  NPD (past)
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)
• Medicomp, Inc

  dba Medicomp Physical Therapy Jackson

  • Physical Therapist
  • Jackson, MS
  • NPI 1144338070
  NPD (past)
• Medicomp, Inc

  dba Medicomp Physical Therapy Byram

  • Physical Therapist
  • Byram, MS
  • NPI 1346332574
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1700968864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051320",
            "telephone_number": "662-327-6705",
            "fax_number": "662-327-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NISSAN PKWY",
            "address_2": "SUITE 400, BLDG F",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390467006",
            "telephone_number": "601-859-3776",
            "fax_number": "601-859-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "MS PT0747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LEE",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Desmond & Puller Adult Daycare Center, LLC
• Adrianne Michelle Devine, FNP-C
• Devoted Nursing Care
• Drayer Physical Therapy Institute LLC
• Drayer Physical Therapy Jackson LLC (Performance Rehab)
• En Route Patient Transport, LLC
• Enchanted Helping Hands
• Everycare Express Clinic
• Faith Bridge Care Solutions LLC
• John C Farmer, M.D.

• Physical Therapist in Canton, MS
• Providers in Canton, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.