Amy Lynn Elliott, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012925 Issued in MI

Practice address

4520 Ivanrest Ave SW
Grandville, MI 49418-9140

Phone

(616) 710-5806

Fax

(616) 531-2913

NPI assigned

Oct 25, 2006

Last updated

Jul 21, 2022By 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 2

Addresses

Other names 1

• Amy Lynn Eggleston Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advent Rehabilitation, LLCGroup PAC ID 9537070545, 57 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.

• Advent Rehabilitation, LLC

  dba Advent Physical Therapy

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1780639658
  Medicare reassignment Care Compare group NPD
• Alliance Physical Therapy Group LLC

  dba Armor Physical Therapy

  • Physical Therapist
  • Holland, MI
  • NPI 1649216144
  Medicare reassignment NPD
• Michigan Rehabilitation Specialists of Fowlerville LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Fowlerville, MI
  • NPI 1669531166
  Medicare reassignment NPD
• Advent Rehabilitation, LLC

  dba Advent Physical Therapy

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1437923729
  NPD
• Michigan Rehabilitation Specialists of Fowlerville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dexter, MI
  • NPI 1407525892
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811071939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 IVANREST AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494189140",
            "telephone_number": "616-710-5806",
            "fax_number": "616-531-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016591",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "EGGLESTON",
            "middle_name": "LYNN",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert L Eggleston, DDS
• Amol Shantaram Ekhande, M.D.
• Andrea Rose Elder
• Jill Marie Elian, RN
• Sarah Dawn Elkins, PA-C
• Lisa Ellis, MSOT
• Emily Dodge Therapy Services PLLC
• Emily Murray Joseph, LLC
• Employee Assistance Center Prairie
• Enjoy Orthodontics, PLLC

• Physical Therapist in Grandville, MI
• Providers in Grandville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.