Active NPI
Laura Elizabeth-Roop Myc, PT
- Physical Therapist
- Ann Arbor, MI
National Provider Identifier
1194955492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8382
- Practice address
- 3340 W Liberty Rd
Ann Arbor, MI 48103-9706 - Phone
- (734) 213-7072
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 8382 | TN | Primary |
| Physical Therapist | 225100000X | 5501015632 | MI |
Addresses
Primary practice location
3340 W Liberty Rd
Ann Arbor, MI 48103-9706
Mailing address
3340 West Liberty
Ann Arbor, MI 48103
Phone (734) 213-7072
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 |
|---|---|---|---|
| 8382 | TN | MD | Clinical Social Worker |
| 5501015632 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1194955492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 WEST LIBERTY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48103",
"telephone_number": "734-213-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 W LIBERTY RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039706",
"telephone_number": "734-213-7072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYC",
"first_name": "LAURA",
"middle_name": "ELIZABETH-ROOP",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "8382",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.