Active NPI
Lisa Marie Chatlain
- Physical Therapist
- Flint, MI
National Provider Identifier
1154825826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004046
- Practice address
- 4436 Beecher Rd
Flint, MI 48532-2609 - Phone
- (810) 733-0290
- NPI assigned
- Mar 19, 2018
- 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 Therapist | 225100000X | 5501004046 | MI | Primary |
Addresses
Primary practice location
4436 Beecher Rd
Flint, MI 48532-2609
Mailing address
8240 N Center Rd
Mount Morris, MI 48458-8956
Phone (810) 877-9600
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 |
|---|---|---|---|
| 5501004046 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1154825826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8240 N CENTER RD",
"city": "MOUNT MORRIS",
"state": "MI",
"postal_code": "484588956",
"telephone_number": "810-877-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4436 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485322609",
"telephone_number": "810-733-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATLAIN",
"first_name": "LISA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.