Individual provider Active NPI

Beverly Ruth Worman

  • Physical Therapist
  • Harper Woods, MI
National Provider Identifier
1043545643
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501002913 Issued in MI
Practice address
19701 Vernier Rd
Suite 280
Harper Woods, MI 48225-1467
Phone
(313) 884-8920
Fax
(313) 884-8510
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501002913 MI Primary

Addresses

Primary practice location

19701 Vernier Rd
Suite 280
Harper Woods, MI 48225-1467

Mailing address

11436 Ash Grove Dr
Washington, MI 48094-3776
Phone (586) 823-9030

Other names 1

  • Beverly Ruth Maurer Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Rehab,LLC Physical Therapist PastSince Jan 1, 2003 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1043545643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11436 ASH GROVE DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943776",
            "telephone_number": "586-823-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 VERNIER RD",
            "address_2": "SUITE 280",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251467",
            "telephone_number": "313-884-8920",
            "fax_number": "313-884-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORMAN",
        "first_name": "BEVERLY",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "MAURER",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.