Amy Ray, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007319A Issued in IN

Practice address

1272 Fern Ave
Harbor Springs, MI 49740-9673

Phone

(317) 450-1589

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amy Hodgin Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Indiana University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Amy Ray PT LLC

  • Physical Therapy Clinic/Center
  • Harbor Springs, MI
  • NPI 1952096844

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Orthosport Physical Therapy and Athletic Rehabilitation Inc.

  • Orthopedic Physical Therapist
  • Petoskey, MI
  • NPI 1710995246
  Medicare reassignment NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1124111422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 FERN AVE",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409673",
            "telephone_number": "317-450-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 FERN AVE",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409673",
            "telephone_number": "317-450-1589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10995 Allisonville Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460382616",
            "country_code": "US",
            "telephone_number": "317-845-9628",
            "fax_number": "317-845-9740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Birchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Harbor Springs",
            "state": "MI",
            "postal_code": "497409206",
            "country_code": "US",
            "telephone_number": "317-450-1589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "AMY",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007319A",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IN",
            "license": "05007319A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200443720",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HODGIN",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Physician Support Services PLLC
• Graham M Pierce, D.D.S.
• Milissa Dawn Godzik Pressey, AGPCNP-BC
• Gregory C Putalik, M.D.
• Craig English Rapin
• Amanda Louise Rothfuss, MSW
• Katy Sansom
• Sarah Thomas Scholtz, OTR
• Vincent E. Schultz, MD
• John Edward Shaloy

• Physical Therapist in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.