Active NPI
Debra Reish-Mitchell
- Physical Therapist
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006141
- Practice address
- 3145 W Clark Rd
Ypsilanti, MI 48197-1120 - Phone
- (734) 528-9760
- Fax
- (734) 528-9761
- NPI assigned
- Feb 9, 2015
- 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 | 5501006141 | MI | Primary |
Addresses
Primary practice location
3145 W Clark Rd
Ypsilanti, MI 48197-1120
Mailing address
3145 W Clark Rd
Ypsilanti, MI 48197-1120
Phone (734) 528-9760
Other names 1
- Debra L Reish
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150505000490 | MI | Practitioner - Physical Therapist in Private Practice | 3577882026 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Max Well Therapy LLC
Practice addresses (Care Compare)
1289 S Linden Rd
Suite a
Flint, MI 48532-3499
Phone (810) 230-9750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501006141 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max Well Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Max Well Therapy L.L.C. | Physical Therapist | Current | Accepting new patients |
| Spine and Extremity Institute of South Lyon, L.L.C. | Physical Therapist | Current | Accepting new patients |
| Plymouth Physical Therapy Specialists Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Kinetic Rehabilitation Inc. | Past | Accepting new patients |
Locations
1289 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 230-9750
8263 S Saginaw St
Ste 5
Grand Blanc, MI 48439
Phone (810) 230-9750
22180 Pontiac Trl
Ste E
South Lyon, MI 48178
Phone (248) 446-0155
22180 Pontiac Trl
South Lyon, MI 48178
Phone (248) 446-0155
Organizations & group practices 5
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.
-
- Physical Therapist
- South Lyon, MI
- NPI 1811209968
MI, Physical Therapist
-
- Physical Therapist
- Grand Blanc, MI
- NPI 1407042963
-
- Rehabilitation Clinic/Center
- South Lyon, MI
- NPI 1235670373
-
- Physical Therapist
- Livonia, MI
- NPI 1689691388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1083005383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 W CLARK RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971120",
"telephone_number": "734-528-9760",
"fax_number": "734-528-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 W CLARK RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971120",
"telephone_number": "734-528-9760",
"fax_number": "734-528-9761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISH-MITCHELL",
"first_name": "DEBRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "REISH",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.