Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE SUZANNE LARUE PT
NPI 1184154528
Physical Therapist in Shaw Afb, SC

Active since June 18, 2017
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152(803) 895-6604 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2023, Jul 21, 2022, Jun 18, 2017 (3 updates tracked since 2017).

About Michelle Suzanne Larue Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE SUZANNE LARUE PT (NPI 1184154528) is an individual physical therapist in Shaw Afb, South Carolina, licensed in Missouri (2016027662) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1184154528
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMICHELLE SUZANNE LARUECredential: PT
Location Address420 POLIFKA DR BLDG 1042Shaw Afb, SC 29152-5100
Mailing Address12 Briarcrest RdViburnum, MO 65566-8617
Sole ProprietorNo
Enumeration DateJune 18, 2017
Last NPPES UpdateOctober 23, 20263 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1184154528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MO · 2016027662
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
420 POLIFKA DR BLDG 1042, Shaw Afb, SC 29152

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Pharmacist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Physical Therapist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Optometrist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Larue's NPI number?

The NPI number for Michelle Larue is 1184154528. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Michelle Larue located?

Michelle Larue practices at 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152. The listed phone number is (803) 895-6604.

What is Michelle Larue's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Michelle Larue was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.