Active NPI
Lydia Storms
- Physical Therapist
- Plymouth, MI
National Provider Identifier
1144749219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211461
- Practice address
- 801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224 - Phone
- (866) 991-0900
- NPI assigned
- Sep 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10847 | MN | |
| Physical Therapist | 225100000X | 2305211461 | VA | Primary |
Addresses
Primary practice location
801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224
Mailing address
4652 Chandler Rd
Shoreview, MN 55126-6025
Phone (866) 991-0900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10847 | MN | MD | Physical Therapist |
| 2305211461 | VA | MD | Physical Therapist |
| 29437 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1144749219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4652 CHANDLER RD",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551266025",
"telephone_number": "866-991-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W ANN ARBOR TRL STE 220",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706224",
"telephone_number": "866-991-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORMS",
"first_name": "LYDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10847",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.