Individual provider Active NPI

Mary Ann Lindsey, P.T.

  • Physical Therapist
  • Monroe, MI
National Provider Identifier
1194905943
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004899 Issued in MI
Practice address
1779 N. Dixie Highway
Monroe, MI 48162
Phone
(734) 289-1800
Fax
(734) 289-1801
NPI assigned
Nov 9, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501004899 MI Primary

Addresses

Primary practice location

1779 N. Dixie Highway
Monroe, MI 48162

Mailing address

26336 E Huron River Dr
Suite a
Flat Rock, MI 48134-1833
Phone (734) 789-8281

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

LicenseStateTypeSpecialty
5501004899MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings, LLC Physical Therapist PastSince Feb 15, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1194905943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26336 E HURON RIVER DR",
            "address_2": "SUITE A",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341833",
            "telephone_number": "734-789-8281",
            "fax_number": "734-789-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 N. DIXIE HIGHWAY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-289-1800",
            "fax_number": "734-289-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.