Individual provider Active NPI

Lynn Haut, P.T.

  • Physical Therapist
  • Monroe, MI
National Provider Identifier
1225070808
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008219 Issued in MI
Practice address
1048 N Monroe St
Monroe, MI 48162-3113
Phone
(734) 241-1400
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 5501008219 MI Primary

Addresses

Primary practice location

1048 N Monroe St
Monroe, MI 48162-3113

Mailing address

1200 Corporate Dr
Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8923

Other names 1

  • Lynn Medvik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060912000247 MI Practitioner - Physical Therapist in Private Practice 1951305648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Ohio, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy Michigan LLCGroup PAC ID 4880087766, 24 clinicians

Practice addresses (Care Compare)

1048 N Monroe St
Monroe, MI 48162-3113
Phone (734) 241-1400

29100 Gateway Blvd
Suite 400
Flat Rock, MI 48134-2764
Phone (734) 379-7900

715 E Main St
Midland, MI 48640-5382
Phone (989) 374-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy Michigan LLC Physical Therapist CurrentSince Apr 25, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3325 University Dr
Ste 103
Auburn Hills, MI 48326
Phone (248) 654-6314

47284 Michigan Ave
Canton, MI 48188
Phone (734) 418-5237

29100 Gateway Blvd
Ste 400
Flat Rock, MI 48134
Phone (734) 379-7900

715 E Main St
Midland, MI 48640
Phone (989) 374-2222

1048 N Monroe St
Monroe, MI 48162
Phone (734) 241-1400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1225070808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR",
            "address_2": "STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8923",
            "fax_number": "423-954-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-241-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUT",
        "first_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "MEDVIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.