Individual provider Active NPI

Elissa Lee Pally, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1730616814
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12193 Issued in FL
Practice address
6920 N Dale Mabry Hwy
Tampa, FL 33614-3931
Phone
(813) 212-1120
Fax
(813) 412-8404
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12193 FL Primary

Addresses

Primary practice location

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931

Mailing address

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931
Phone (813) 212-1120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230331000854 FL Practitioner - Chiropractic 2163897398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Road Chiropractic, Inc. Chiropractor CurrentSince Dec 22, 2024 Accepting new patients
The Performance Lab LLC CurrentSince Apr 1, 2026 Accepting new patients
North Tampa Spine & Joint Center LLC CurrentSince Apr 17, 2023 Accepting new patients
Smith Family Chiropractic Chiropractor Past Accepting new patients

Locations

10930 Sheldon Rd
Tampa, FL 33626
Phone (813) 884-1457

6920 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 212-1120

17429 Bridge Hill Ct
Tampa, FL 33647
Phone (813) 893-7921

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1730616814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "telephone_number": "813-212-1120",
            "fax_number": "813-412-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "telephone_number": "813-212-1120",
            "fax_number": "813-412-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLY",
        "first_name": "ELISSA",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.