Active NPI
Linda Gail Maccourtney, PT
- Physical Therapist
- Rochester Hills, MI
National Provider Identifier
1013400480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501003017
- Practice address
- 175 E Nawakwa Rd
Rochester Hills, MI 48307-5269 - Phone
- (248) 841-8778
- NPI assigned
- Jun 11, 2018
- 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 | 5501003017 | MI | Primary |
Addresses
Primary practice location
175 E Nawakwa Rd
Rochester Hills, MI 48307-5269
Mailing address
1978 Fair Oak Dr
Rochester Hills, MI 48309-2504
Phone (248) 561-1216
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 |
|---|---|---|---|
| 5501003017 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1013400480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1978 FAIR OAK DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483092504",
"telephone_number": "248-561-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E NAWAKWA RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075269",
"telephone_number": "248-841-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACCOURTNEY",
"first_name": "LINDA",
"middle_name": "GAIL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501003017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.