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

Elise D Ethridge, DPT

Individual provider Physical Therapist · NPI 1760037121

Elise D Ethridge, DPT is a Physical Therapist in Private Practice in Meridian, Mississippi. Qualified in 2019, 7 years ago. Practices with Drayer Physical Therapy Mississippi LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4908 Great River Dr
Meridian, MS 39305-2663
Phone: (601) 453-3632
Fax: (604) 453-3633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6687 (MS)

Record details

NPI number1760037121
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019
Mailing address8205 Presidents Dr, Hummelstown, PA 17036-8621

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Drayer Physical Therapy Mississippi Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian