Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Shew Elledge, OT/L

Individual provider Occupational Therapist · NPI 1073403077

Angela Shew Elledge, OT/L is an Occupational Therapist in Private Practice in North Wilkesboro, North Carolina. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2025

Practice location Address checks out

206 Old Brickyard Rd
North Wilkesboro, NC 28659-8971
Phone: (336) 667-2211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6007 (NC)

Record details

NPI number1073403077
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT/L
Sole proprietorNo
NPI enumeratedJuly 9, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North Wilkesboro