Carmen Shannon Pena-Branstner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012653 Issued in MI

Practice address

1660 Haslett Rd
Suite 4
Haslett, MI 48840-8469

Phone

(517) 339-4050

NPI assigned

Jan 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• The Therapy Institute, LLC

  • Physical Therapist
  • Haslett, MI
  • NPI 1841369303
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093866196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 FERGUSON ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122211",
            "telephone_number": "517-482-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HASLETT RD",
            "address_2": "SUITE 4",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408469",
            "telephone_number": "517-339-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-BRANSTNER",
        "first_name": "CARMEN",
        "middle_name": "SHANNON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelle Nicole Olson, RDN
• Bethany Ann Owusu, D.C.
• Sylvester Winfred Owusu, D.C.
• Elizabeth Parker, MA, LPC
• Paul N Deweese MD PLC
• Peter B Wollschlaeger Medical PLLC
• Dominique Phelps, CNM
• Joanna Poynter, LPTA
• Red Cedar Surgery Center, LLC
• Reed and Flax

• Physical Therapist in Haslett, MI
• Providers in Haslett, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.