Peggy A Ivan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004011 Issued in MI

Practice address

3680 S Orr Rd
Freeland, MI 48623-9111

Phone

(989) 695-9282

Fax

(989) 695-9283

NPI assigned

May 26, 2006

Last updated

Feb 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Mechanics Rehabilitation and Wellness, LLCGroup PAC ID 0941461370, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Body Mechanics Rehabilitation & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Freeland, MI
  • NPI 1629341466
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1013963206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 S ORR RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239111",
            "telephone_number": "989-695-9282",
            "fax_number": "989-695-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 S ORR RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239111",
            "telephone_number": "989-695-9282",
            "fax_number": "989-695-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVAN",
        "first_name": "PEGGY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004011",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "406631-00",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allissa Horn, LMT
• Kiara Howe
• Michael Humphrey II
• Ashleigh Hymel, OTRL
• I Care Vision Center Inc
• J.Robert Vankirk Anesthesia Services, Inc.
• Samantha Marie Jersey, BCBA, LBA
• Emily Brianne Johnson, M.ED,BCBA, LBA
• Kristin Marie Johnson, P.A.
• Ashley Jordan, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.