Active NPI
Christine E Garland, PTA
- Physical Therapy Assistant
- Lansing, MI
National Provider Identifier
1093918583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 5400 S Pennsylvania Ave
Lansing, MI 48911-4049 - Phone
- (517) 393-7325
- Fax
- (517) 393-2320
- NPI assigned
- Jun 11, 2007
- 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 Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
5400 S Pennsylvania Ave
Lansing, MI 48911-4049
Mailing address
5400 S Pennsylvania Ave
Lansing, MI 48911-4049
Phone (517) 393-7325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30658 | Other | MI | BLUE CROSS |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093918583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 S PENNSYLVANIA AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489114049",
"telephone_number": "517-393-7325",
"fax_number": "517-393-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 S PENNSYLVANIA AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489114049",
"telephone_number": "517-393-7325",
"fax_number": "517-393-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "CHRISTINE",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30658",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- 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.