Adrea L Gardner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016492 Issued in MI

Practice address

1096 S Belsay Rd
Suite G
Burton, MI 48509-1948

Phone

(888) 218-4045

Fax

(810) 249-4230

NPI assigned

Sep 19, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henry Ford Medical Group Genesys

  • Family Medicine Physician
  • Burton, MI
  • NPI 1598248718
  Medicare reassignment Care Compare group NPD
• Henry Ford Health Genesys Hospital

  • Physical Therapist
  • Burton, MI
  • NPI 1720959661
  Medicare reassignment
• Henry Ford Medical Group Genesys

  • Physical Therapist
  • Burton, MI
  • NPI 1114495793
  NPD
• Mark and Holly Stearns, LLC

  • Physical Medicine & Rehabilitation Physician
  • Flint, MI
  • NPI 1881395234
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1003242397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 S BELSAY RD",
            "address_2": "SUITE G",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091948",
            "telephone_number": "888-218-4045",
            "fax_number": "810-249-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 S BELSAY RD",
            "address_2": "SUITE G",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091948",
            "telephone_number": "888-218-4045",
            "fax_number": "810-249-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ADREA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fubidia Inc.
• Gerald A Fulton, MD
• G.S.M., Inc. - East
• Thomas Joseph Gallagher, RPH
• Lorna Marguerite Gallogly, NP
• Javonna Gardner
• Kimberly Lynne Garrison, OD
• General Optical Company
• Genesee County Health Department
• Genesee ENT Associates PC

• Physical Therapist in Burton, MI
• Providers in Burton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.