Annette Kireta, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

5501005075 Issued in MI

Practice address

49664 Gratiot Ave
Chesterfield, MI 48051-2526

Phone

(586) 435-6942

Fax

(586) 435-2331

NPI assigned

Dec 12, 2008

Last updated

Dec 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Luna Care Physical Therapy LLCGroup PAC ID 9032549217, 51 clinicians

Behavioral Outcomes Management,LLCGroup PAC ID 1355602426, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Behavioral Outcomes Management,LLC

  dba ExpertCare Management Services

  • Community/Behavioral Health Agency
  • Troy, MI
  • NPI 1184139131

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Michigan Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Ann Arbor, MI
  • NPI 1003448994
  Medicare reassignment Care Compare group NPD
• The Center for Therapeutic Learning and Communication, PLLC

  dba Center for TLC

  • Rehabilitation Clinic/Center
  • Chesterfield, MI
  • NPI 1699966341

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1225273675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49664 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512526",
            "telephone_number": "586-435-6942",
            "fax_number": "586-435-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49664 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512526",
            "telephone_number": "586-435-6942",
            "fax_number": "586-435-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRETA",
        "first_name": "ANNETTE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": "5501005075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan M King, DPM
• McKennah King
• Montaniece King
• Rebecca King
• Karen Kinsel
• Deanna Lynne Kish
• Alan H. Klein, M.D.
• Kevin Klein, D.O.
• Todd Kleinstein, DC
• Sarah Kleis

• Pediatric Physical Therapist in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Pediatric Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.