Active NPI
Jenifer Yorke Segal, MPT
- Physical Therapist
- Southfield, MI
National Provider Identifier
1083672166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010037
- Practice address
- 21751 W 11 Mile Rd
Suite 110
Southfield, MI 48076-3712 - Phone
- (248) 356-2100
- Fax
- (248) 356-2121
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 5501010037 | MI | Primary |
Addresses
Primary practice location
21751 W 11 Mile Rd
Suite 110
Southfield, MI 48076-3712
Mailing address
1991 Birmingham Blvd
Birmingham, MI 48009
Phone (248) 258-3438
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Southfield, P.C. | Physical Therapist | Past | 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.
-
- Physical Therapist
- Southfield, MI
- NPI 1922072974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1083672166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 BIRMINGHAM BLVD",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "48009",
"telephone_number": "248-258-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21751 W 11 MILE RD",
"address_2": "SUITE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763712",
"telephone_number": "248-356-2100",
"fax_number": "248-356-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "JENIFER",
"middle_name": "YORKE",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.