Marissa McCann
Individual provider Active NPI Physical Therapy Assistant · Yale, MI
NPI 1003757725 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1003757725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502008627 (MI)
- Practice address
- 90 Jean St
Yale, MI 48097-2932 - Phone
- (810) 387-3226
- NPI assigned
- Apr 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502008627 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502008627 | MI | Yes |
Addresses
Primary practice location
90 Jean St
Yale, MI 48097-2932
Mailing address
7019 Meldrum Rd
Ira, MI 48023-2427
Phone (810) 278-3635
Other providers in Yale, MI
- Crystal June Lukasik
- Matthew Richard Luttrell
- Main Street Dentistry, PC
- Jennifer Marchetti
- Mary L. Vinckier, D.D.S., P.C.
- Medilodge of Yale Inc
- Alison Pemberton
- Ryan Schroeder DDS PC
- SDS Pharmacy
- SDS Pharmacy Inc
All providers in Yale, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.