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

Mrs. Michelle C Ellison, PT

Individual provider Physical Therapist · NPI 1700968864

Mrs. Michelle C Ellison, PT is a Physical Therapist in Private Practice in Canton, Mississippi. Qualified in 1987, 39 years ago. Practices with 5 Star Performance Center, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
39
Licensed in
MS
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

276 Nissan Pkwy Ste 400 Bldg F
Canton, MS 39046-7006
Phone: (601) 859-3776
Fax: (601) 859-3778
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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 MS PT0747 (MS)

Record details

NPI number1700968864
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESDecember 28, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice 5 Star Performance Center, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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