Active NPI
Regina B MC Pherson, P.T.
- Physical Therapist
- Kalamazoo, MI
National Provider Identifier
1003973025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501013109
- Practice address
- 315 Turwill LN
Kalamazoo, MI 49006-4231 - Phone
- (269) 343-8170
- Fax
- (269) 382-8490
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501013109 | MI | Primary |
Addresses
Primary practice location
315 Turwill LN
Kalamazoo, MI 49006-4231
Mailing address
315 Turwill LN
Kalamazoo, MI 49006-4231
Phone (269) 343-8170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650C913950 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501013109 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1003973025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 TURWILL LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490064231",
"telephone_number": "269-343-8170",
"fax_number": "269-382-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 TURWILL LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490064231",
"telephone_number": "269-343-8170",
"fax_number": "269-382-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC PHERSON",
"first_name": "REGINA",
"middle_name": "B",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "650C913950",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.