ELISSA A DITZEL OTRL
NPI 1740533215
Occupational Therapist in Springport, MI
About Elissa A Ditzel Otrl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISSA A DITZEL OTRL (NPI 1740533215) is an individual occupational therapist in Springport, Michigan, licensed in Michigan (5201008380) and active in the NPI registry since October 2012.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elissa A Ditzel Otrl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elissa Ditzel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shelby Township, MI 48315
- Reassigned Medicare billing, Michigan enrollment
- 164 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Elissa Ditzel's NPI number?
The NPI number for Elissa Ditzel is 1740533215. It was assigned to this individual provider in the NPPES registry on October 22, 2012.
Where is Elissa Ditzel located?
Elissa Ditzel practices at 10550 N Parma Rd, Springport, MI 49284. The listed phone number is (517) 262-1884.
What is Elissa Ditzel's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Elissa Ditzel enrolled in Medicare?
Yes. Elissa Ditzel is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elissa Ditzel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elissa Ditzel reassigns Medicare benefits to Powerback Rehabilitation LLC (Shelby Township, MI). 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 Elissa Ditzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elissa Ditzel was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.