Jerry Parker

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1364 N Perry Creek Rd
Mio, MI 48647-9718

Phone

(989) 390-3718

NPI assigned

Mar 16, 2007

Last updated

Dec 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Michigan Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Mio, MI
  • NPI 1467719252
  NPD Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1083738140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 N PERRY CREEK RD",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486479718",
            "telephone_number": "989-390-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 N PERRY CREEK RD",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486479718",
            "telephone_number": "989-390-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JERRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munson Healthcare Grayling (Munson Healthcare Mio Primary Care)
• Northern Home Care LLC
• Debra Lee Nurse, BA, CMHP, QMHP, QIDP
• O'Cats Transit
• Kaitlyn Oates, LMSW
• Pioneer Family Pharmacy Inc
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 01715)
• Holly Stoner
• Thunder Bay Community Health Service, Inc
• Thunder Bay Community Health Service, Inc

• Physical Therapy Assistant in Mio, MI
• Providers in Mio, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.