| Mrs Michelle C Ellison, P T | |
|
276 Nissan Pkwy, Suite 400, Bldg F, Canton, MS 39046-7006 | |
| (601) 859-3776 | |
| (601) 859-3778 |
| Full Name | Mrs Michelle C Ellison |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 39 Years |
| Location | 276 Nissan Pkwy, Canton, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700968864 | NPI | - | NPPES |
| 5965404 | Other | MS | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | MS PT0747 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 5 Star Performance Center, Llc | 3577815372 | 4 |
| Provider Name | Dpti Elite Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144 |
| Provider Name | Drayer Physical Therapy Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
| Provider Name | 5 Star Performance Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689150054 PECOS PAC ID: 3577815372 Enrollment ID: O20181005000948 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle C Ellison, P T 2416 Highway 45 N, Columbus, MS 39705-1320 Ph: (662) 327-6705 | Mrs Michelle C Ellison, P T 276 Nissan Pkwy, Suite 400, Bldg F, Canton, MS 39046-7006 Ph: (601) 859-3776 |
Mr. Trent Lydell Butler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1883 Highway 43 S, Suite C, Canton, MS 39046 Phone: 601-859-2906 Fax: 601-859-0483 | |
Joel Maier, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Nissan Dr, Canton, MS 39046 Phone: 601-855-6010 | |
Mr. Jeffrey Paul Hodges, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1883 Highway 43 S, Suite C, Canton, MS 39046 Phone: 601-859-2906 | |
James Rankin, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 908 E Peace St, Canton, MS 39046 Phone: 601-636-6019 Fax: 601-661-8457 | |
Drayer Physical Therapy Jackson Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 276 Nissan Pkwy, Building F, Ste 400, Canton, MS 39046 Phone: 601-859-3776 Fax: 601-859-3778 | |
Physical Therapy Works Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3091 S Liberty St, Canton, MS 39046 Phone: 601-859-3131 Fax: 601-859-1101 | |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 276 Nissan Pkwy, Building F, Ste 400, Canton, MS 39046 Phone: 601-859-3776 Fax: 601-859-3778 |