Individual provider Active NPI

Taylor Hoekwater, MSA, AT, ATC, EMT-B

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Mount Pleasant, MI
National Provider Identifier
1144737594
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
2601001411 Issued in MI
Practice address
Central Michigan University Health Professions Ofc 1205
Mount Pleasant, MI 48859-0001
Phone
(989) 774-2644
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 3203054300 MI
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 2601001411 MI Primary

Addresses

Primary practice location

Central Michigan University Health Professions Ofc 1205
Mount Pleasant, MI 48859-0001

Mailing address

501 S Lansing St
Mount Pleasant, MI 48858-2632

Other names 1

  • Taylor Maylee Former name

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

LicenseStateTypeSpecialty
3203054300MIMDBasic Emergency Medical Technician
2601001411MIMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1144737594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S LANSING ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL MICHIGAN UNIVERSITY HEALTH PROFESSIONS OFC 1205",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKWATER",
        "first_name": "TAYLOR",
        "credential": "MSA, AT, ATC, EMT-B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MI",
            "license": "3203054300",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MI",
            "license": "2601001411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "MAYLEE",
            "credential": "MSA, AT, ATC, EMT-B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.