Michigan Institute for Human Performance Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004256 Issued in MI

Legal business name

MICHIGAN INSTITUTE FOR HUMAN PERFORMANCE INC

Practice address

2265 Livernois Rd
Suite 700
Troy, MI 48083-1633

Phone

(248) 269-0230

Fax

(248) 269-0231

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Sherry Lynn McLaughlinNPI 1447340427

Title

Owner

Phone

(248) 269-0230

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherry McLaughlin

  • Physical Therapist
  • Troy, MI
  • NPI 1447340427
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Kidd, DPT

  • Physical Therapist
  • Troy, MI
  • NPI 1730283722
  Medicare reassignment Care Compare group NPD
• Jacquelyn Chapman Barnes, PTA

  • Physical Therapy Assistant
  • Troy, MI
  • NPI 1437659166
  NPD (past)
• Denise Dean, M.P.T.

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1780899021
  NPD (past)
• Sean Michael Marshall, MPT

  • Physical Therapist
  • Harrison Township, MI
  • NPI 1679589733
  NPD (past)
• Jessica L Dimmer, MPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1366546350
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1023115201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS RD",
            "address_2": "SUITE 700",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831633",
            "telephone_number": "248-269-0230",
            "fax_number": "248-269-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS RD",
            "address_2": "SUITE 700",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831633",
            "telephone_number": "248-269-0230",
            "fax_number": "248-269-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INSTITUTE FOR HUMAN PERFORMANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-269-0230"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "650F397060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.