Individual provider Active NPI

Haley Marentette, PT, DPT

  • Physical Therapist
  • Pontiac, MI
National Provider Identifier
1205596228
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Phone
(248) 857-7137
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 Primary

Addresses

Primary practice location

3000 Centerpoint Pkwy
Pontiac, MI 48341-3116

Mailing address

3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Phone (248) 857-7137

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

Practice roles

OrganizationSpecialtyStatusNew patients
HQ of Lapeer LLC Physical Therapist CurrentSince Dec 17, 2024 Accepting new patients
KKS of Michigan LLC CurrentSince Dec 17, 2024 Accepting new patients
Milestones Pediatric Physical Therapy Physical Therapist CurrentSince May 7, 2024 Accepting new patients
Mansach Enterprises LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Mansach Enterprises LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

411 W Nepessing St
Lapeer, MI 48446
Phone (810) 206-2200

3000 Centerpoint Pkwy
Pontiac, MI 48341
Phone (248) 857-6776

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

18161 W 13 Mile Rd
Ste B4
Southfield, MI 48076
Phone (248) 792-7019

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1205596228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CENTERPOINT PKWY",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413116",
            "telephone_number": "248-857-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CENTERPOINT PKWY",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413116",
            "telephone_number": "248-857-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENTETTE",
        "first_name": "HALEY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.