Active NPI
Danette Lee Warner, PT
- Physical Therapist
- East Lansing, MI
National Provider Identifier
1215192349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501013966
- Practice address
- 830 W. Lake Lansing Rd
Suite 190
East Lansing, MI 48823 - Phone
- (517) 333-8533
- Fax
- (517) 333-8539
- NPI assigned
- Jul 29, 2008
- Last updated
- May 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501013966 | MI | Primary |
Addresses
Primary practice location
830 W. Lake Lansing Rd
Suite 190
East Lansing, MI 48823
Mailing address
830 W. Lake Lansing Rd
Suite 190
East Lansing, MI 48823
Phone (517) 333-8533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30658 | Other | BLUE CROSS |
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 |
|---|---|---|---|
| 5501013966 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1215192349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W. LAKE LANSING RD",
"address_2": "SUITE 190",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48823",
"telephone_number": "517-333-8533",
"fax_number": "517-333-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W. LAKE LANSING RD",
"address_2": "SUITE 190",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48823",
"telephone_number": "517-333-8533",
"fax_number": "517-333-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "DANETTE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30658",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.