Individual provider Active NPI

Mary Patricia Lanter, PT

  • Physical Therapist
  • Lapeer, MI
National Provider Identifier
1245370634
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19955 Issued in NC
Practice address
396 Lake Nepessing Rd
Lapeer, MI 48446-2996
Phone
(810) 667-1962
Fax
(810) 667-9350
NPI assigned
Feb 7, 2007
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501011045 MI
Physical Therapist 225100000X P19955 NC Primary

Addresses

Primary practice location

396 Lake Nepessing Rd
Lapeer, MI 48446-2996

Mailing address

2365 Flagstone Dr
Flushing, MI 48433-2583
Phone (810) 513-3639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201116002817 SC Practitioner - Physical Therapist in Private Practice 8123054731 Reassigns benefits to 2 organizations
I20211209000029 NC Practitioner - Physical Therapist in Private Practice 8123054731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Therapy LLCGroup PAC ID 1153317300, 48 clinicians

Practice addresses (Care Compare)

11220 Golf Links Dr
Charlotte, NC 28277-8046
Phone (404) 351-5307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10425SCMDProfessional Counselor
5501011045MIMDPhysical Therapist
P19955NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Integrated Therapy LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Creative Health Care Management, LLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Black Mountain Physical Therapy, LLC Physical Therapist CurrentSince Sep 15, 2021 Accepting new patients
Phoenix Rehabilitation and Health Services of South Carolina, LLC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
Life Clinic of NC PC Physical Therapist PastSince Nov 4, 2024 Accepting new patients

Locations

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
Phone (770) 443-4483

10 S 9th St
Ste 4
Noblesville, IN 46060

997 Old US Hwy 70 W
Ste D
Black Mtn, NC 28711
Phone (828) 669-6896

1700 Regency Pkwy
Cary, NC 27518
Phone (404) 351-5309

11220 Golf Links Dr
Charlotte, NC 28277
Phone (704) 510-4988

206 Springcrest Dr
Fort Mill, SC 29715
Phone (803) 547-8128

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1245370634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 FLAGSTONE DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332583",
            "telephone_number": "810-513-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 LAKE NEPESSING RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462996",
            "telephone_number": "810-667-1962",
            "fax_number": "810-667-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTER",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011045",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.