ELISSA A DITZEL OTRL
NPI 1740533215
Occupational Therapist in Springport, MI

Active since October 22, 2012
10550 N PARMA RD, SPRINGPORT, MI 49284(517) 262-1884 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1740533215
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameELISSA A DITZELCredential: OTRL
Location Address10550 N PARMA RDSpringport, MI 49284-9720
Mailing Address151 2nd StSpring Arbor, MI 49283-9647 · (517) 750-1900
Sole ProprietorYes
Enumeration DateOctober 22, 2012
Last NPPES UpdateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1740533215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MI · 5201008380
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
10550 N PARMA RD, Springport, MI 49284

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.

Physical Therapist
46471 HAYES RD
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.