MRS. MICHELLE ELLIS (PT) – Physical Therapist, NPI 1326714767

MRS. MICHELLE ELLIS (PT) is a healthcare provider. based in Dryden, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501012070 (MI). The NPI Number for MRS. MICHELLE ELLIS (PT) is 1326714767

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE ELLIS (PT)
NPI
1326714767
Phone
Not provided
Address
4678 HOLLOW CORNERS RD
Enumeration Date
17 August 2021
Last Update Date
17 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009744378
Graduation Year
2004 (22 years ago)
PAC ID
9335544543
Group Practice PAC ID
4688679293
Professional Enrollment ID
I20210826001862
Address ID
MI480031066AL122XXSTXX400

Contacts

SOAP Endpoint
Epic
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MRS. MICHELLE ELLIS (PT)

  • 4678 HOLLOW CORNERS RD

    DRYDEN, MI 484289725

    Phone:

    Type: Mailing

  • 44800 DELCO BLVD

    STERLING HEIGHTS, MI 483131026

    Phone: (586) 726-6400

    Type: Location

  • 80650 Van Dyke Rd

    Bruce Twp, MI 480651333

    Phone: (810) 798-6470

    Type: Location

  • 12150 30 Mile Rd

    Washington, MI 480952035

    Phone: (586) 336-2480

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210826001862IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13940$0
97140Therapy procedure using manual technique, each 15 minutes8237$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4726$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care3620$0
97530Therapy procedure using functional activities3422$0
View full utilization report →

Insurance plans in this area (ZIP 48428)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688679293View full group profile
NameSpecialtyState
-WI
Physical Therapist In Private PracticeIL
-IL
-MI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How is MRS. MICHELLE ELLIS (PT) identified in CMS data?
CMS-hosted NPPES data lists MRS. MICHELLE ELLIS (PT) with NPI 1326714767.
Is MRS. MICHELLE ELLIS (PT) listed as active for patients and plans?
The listing shows MRS. MICHELLE ELLIS (PT) as active in the NPI system.
What is MRS. MICHELLE ELLIS (PT)'s primary classification?
Physical Therapist is the headline specialty for MRS. MICHELLE ELLIS (PT) here. Clinical services aligned with this taxonomy classification.
Where is MRS. MICHELLE ELLIS (PT) based?
MRS. MICHELLE ELLIS (PT) is tied to Dryden, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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