Mary Ann Herrmann, MPT, CLT-LANA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003593 Issued in MI

Practice address

782 Huron Blvd
Marysville, MI 48040-1462

Phone

(810) 216-1801

Fax

(810) 364-9803

NPI assigned

Apr 2, 2018

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munger Physical Therapy PLCGroup PAC ID 6204906852, 6 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 and National Provider Directory roles.

• Munger Physical Therapy, PLC

  • Physical Therapy Clinic/Center
  • Fort Gratiot, MI
  • NPI 1548428626

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1245736958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 HURON BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 HURON BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401462",
            "telephone_number": "810-216-1801",
            "fax_number": "810-364-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MPT, CLT-LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Heard
• Taisha Hearndon
• Sugi Her
• Megan Herr
• Cassadie Joy Herrington
• Jennifer Lynn Heyworth, MPT
• Shirley Hickman
• Autumn Ann Marie Hicks
• Rhonda Yvette Hill
• Mikelle Hillewaere

• Physical Therapist in Marysville, MI
• Providers in Marysville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.