Active NPI
Barbara Ann Glovis
- Physical Therapy Assistant
- Southgate, MI
National Provider Identifier
1104164151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502002164
- Practice address
- 15121 Devoe St
Southgate, MI 48195-3295 - Phone
- (734) 658-9903
- Fax
- (734) 225-6385
- NPI assigned
- Jan 26, 2013
- 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 Therapy Assistant | 225200000X | 5502002164 | MI | Primary |
Addresses
Primary practice location
15121 Devoe St
Southgate, MI 48195-3295
Mailing address
15121 Devoe St
Southgate, MI 48195-3295
Phone (734) 658-9903
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502002164 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1104164151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15121 DEVOE ST",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481953295",
"telephone_number": "734-658-9903",
"fax_number": "734-225-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15121 DEVOE ST",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481953295",
"telephone_number": "734-658-9903",
"fax_number": "734-225-6385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVIS",
"first_name": "BARBARA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-26",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502002164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.