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MICHELLE JANE MAILLOUX PT, DPT
NPI 1316547201
Physical Medicine & Rehabilitation - Sports Medicine in Worcester, MA

Active since October 29, 2020Accepts Medicare Assignment
484 MAIN ST STE 600, WORCESTER, MA 01608(800) 244-2756 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle Jane Mailloux Pt, Dpt NPPES

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

MICHELLE JANE MAILLOUX PT, DPT (NPI 1316547201) is an individual sports medicine provider in Worcester, Massachusetts, licensed in Massachusetts (25187) and active in the NPI registry since October 2020. She maintains a secondary practice location in Lowell and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316547201
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameMICHELLE JANE MAILLOUXCredential: PT, DPT
Location Address484 MAIN ST STE 600Worcester, MA 01608-1881
Mailing Address41 Briar AveLowell, MA 01852-1641 · (978) 761-5322
Phone(800) 244-2756
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 29, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1316547201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in MA · 25187
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
484 MAIN ST STE 600, Worcester, MA 01608
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Secondary Practice Location 1

Location 141 Briar AveLowell, MA 01852-1641 · Phone (978) 761-5322

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Jane Mailloux Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638610892
PECOS Enrollment IDI20240916002715

Medicare Billing Reassignment

Medicare enrollment records show Michelle Mailloux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Therapeutic Associates Inc
2,225 mi
Physical Therapist
1005 N EVERGREEN RD, STE 010
Spokane Valley, WA 99216
  • Reassigned Medicare billing, Oregon enrollment
  • 312 clinicians in this Medicare group
NPI 1497731244 (509) 926-5367

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

PAIGE ENSBY PT, DPT
Physical Therapist
484 MAIN ST STE 600
WORCESTER, MA 01608
Worcester County (800) 244-2756
MARIANA PIERCE MS, OTR/L, CNS
Occupational Therapist
484 MAIN ST STE 600
WORCESTER, MA 01608
Worcester County (800) 244-2756
JENNIFER GALLO OTR/L
Occupational Therapist
484 MAIN ST STE 600
WORCESTER, MA 01608
Worcester County (800) 244-2756
HEATHER ELIZABETH BALL
Student in an Organized Health Care Education/Training Program
484 MAIN ST STE 600
WORCESTER, MA 01608
Worcester County (800) 244-2756
RYAN WHITNEY OTD, OTR/L
Occupational Therapist
484 MAIN ST STE 600
WORCESTER, MA 01608
Worcester County (800) 244-2756
ROSLYN KLAROU OT
Occupational Therapist
484 MAIN ST STE 600
WORCESTER, MA 01608
Worcester County (800) 244-2756
CORTNEY MARISSA KASHMANIAN OTR/L
Occupational Therapist
484 MAIN ST STE 600
WORCESTER, MA 01608
Worcester County (800) 244-2756
HAYLEY ELIZABETH SKINNER CCC-SLP
Speech-Language Pathologist
484 MAIN ST STE 600
WORCESTER, MA 01608
Worcester County (800) 244-2756

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 Mailloux's NPI number?

The NPI number for Michelle Mailloux is 1316547201. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Michelle Mailloux located?

Michelle Mailloux practices at 484 Main St Ste 600, Worcester, MA 01608. The listed phone number is (800) 244-2756.

What is Michelle Mailloux's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Michelle Mailloux enrolled in Medicare?

Yes. Michelle Mailloux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Mailloux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Mailloux reassigns Medicare benefits to Therapeutic Associates Inc (Spokane Valley, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Mailloux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Mailloux accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Michelle Mailloux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Mailloux was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.