Active NPI
Allie Michelle Grden, PT, DPT
- Physical Therapist
- Lansing, MI
National Provider Identifier
1053830356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018401
- Practice address
- 3937 Patient Care Dr Ste 105
Lansing, MI 48911-4287 - Phone
- (517) 272-9320
- Fax
- (517) 272-9321
- NPI assigned
- Sep 18, 2017
- 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 | 5501018401 | MI | Primary |
Addresses
Primary practice location
3937 Patient Care Dr Ste 105
Lansing, MI 48911-4287
Mailing address
24014 W Renwick Rd
Ste F
Plainfield, IL 60544-8708
Phone (800) 974-4378
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1053830356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24014 W RENWICK RD",
"address_2": "STE F",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448708",
"telephone_number": "800-974-4378",
"fax_number": "630-515-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3937 PATIENT CARE DR STE 105",
"city": "LANSING",
"state": "MI",
"postal_code": "489114287",
"telephone_number": "517-272-9320",
"fax_number": "517-272-9321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRDEN",
"first_name": "ALLIE",
"middle_name": "MICHELLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
- Brianna Lynn Granlund, D.O.
- Cheris Grasse, MPT
- Grassroots Community Counseling Services
- Melodee Anne Graybill, LMSW
- Katherine Grayden, MD
- Great Lakes Family Dental Group Lansing PC
- Great Lakes Lithotripsy, LLC
- Great Lakes Pediatric Associates
- Greater Lansing Chiropractic
- Greater Lansing Chiropractic Clinics Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.