Individual provider Active NPI

Cibele Maziliauskas Granito, PT

  • Neurology Physical Therapist
  • Muskegon, MI
National Provider Identifier
1043465149
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
5501013616 Issued in MI
Practice address
1080 E Sternberg Rd
Muskegon, MI 49444-8796
Phone
(231) 799-2200
Fax
(231) 799-2201
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 5501013616 MI Primary
Pediatric Physical Therapist 2251P0200X 5501013616 MI

Addresses

Primary practice location

1080 E Sternberg Rd
Muskegon, MI 49444-8796

Mailing address

1080 E Sternberg Rd
Muskegon, MI 49444-8796
Phone (231) 799-2200

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

LicenseStateTypeSpecialty
5501013616MIMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1043465149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E STERNBERG RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494448796",
            "telephone_number": "231-799-2200",
            "fax_number": "231-799-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E STERNBERG RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494448796",
            "telephone_number": "231-799-2200",
            "fax_number": "231-799-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANITO",
        "first_name": "CIBELE",
        "middle_name": "MAZILIAUSKAS",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MI",
            "license": "5501013616",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": "5501013616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.