Andrew J Misch, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501301754 Issued in MI

Practice address

9445 N Straits Hwy
Cheboygan, MI 49721-9069

Phone

(231) 627-7201

Fax

(231) 627-7036

NPI assigned

Jan 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Northern Michigan Sports Medicine Center

  • Physical Therapy Clinic/Center
  • Petoskey, MI
  • NPI 1538123906

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1124770425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR STE 2",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-347-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 N STRAITS HWY",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219069",
            "telephone_number": "231-627-7201",
            "fax_number": "231-627-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCH",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5501301754",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Melton
• Kaelyn Meyers
• Keri A Miller, RN
• Taylor Mills, PT, DPT, ATC
• Alvin Mina
• Modern Medical Service Inc
• Modern Medical Services Inc
• Modern Medical Services, Inc
• Ryan John Morris, PT
• Jennifer Ruth Morse Griffin, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.