Michele Ellis, MED, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC-000166 Issued in PA

Practice address

555 Rial LN
Greensburg, PA 15601-4683

Phone

(724) 834-2059

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Suburban Sports Medicine Center LPGroup PAC ID 6507306909, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• East Suburban Sports Medicine Center LP

  • Physical Therapist
  • Murrysville, PA
  • NPI 1730925538
  Medicare reassignment Care Compare group NPD
• East Suburban Sports Medicine Center, LTD.

  • Specialist
  • Murrysville, PA
  • NPI 1750384988
  NPD (past)

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1730720913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PENNTOWNE DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156428815",
            "telephone_number": "724-787-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RIAL LN",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014683",
            "telephone_number": "724-834-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MICHELE",
        "credential": "MED, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC-000166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevation Psychological Services
• Alexandra Simone Elgrissy, PA-C
• Elizabeth Seton Care Center
• Jennifer Ellena
• Kayla Ellis
• Leslie Ellwood, M.ED. CRC, LPC
• Emerging Vision
• Encompass Care, Inc.
• Endocrinology Specialists, PC
• Alison Eonta, PH.D.

• Occupational Therapist in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.