Michaela Magry, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502005375 Issued in MI

Practice address

148 S Main St
Leslie, MI 49251-2561

Phone

(517) 589-9050

Fax

(517) 589-9059

NPI assigned

May 31, 2022

Last updated

May 31, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sams Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Leslie, MI
  • NPI 1306073945
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1275272247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 WILLOUGHBY RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488429413",
            "telephone_number": "248-220-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S MAIN ST",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492512561",
            "telephone_number": "517-589-9050",
            "fax_number": "517-589-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGRY",
        "first_name": "MICHAELA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Daniel Kribs, D.C.
• Leslie Area Ambulance Service, Inc.
• Leslie Dental Associates
• Leslie Medical Center P C
• Lynne Swerhone LLC
• Robert Joseph Mondragon, D.D.S.
• Rachelle Motes
• Gary Michael Prieskorn, PHARMACIST
• Riverstone Counseling LLC
• Sams Physical Therapy PC

• Physical Therapy Assistant in Leslie, MI
• Providers in Leslie, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.