Cortney Lynn McCarthy, PTA
Individual provider Active NPI Physical Therapy Assistant · Grosse Ile, MI
NPI 1275970931 · NPPES record last updated Jun 4, 2013
Key facts
- NPI
- 1275970931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502000567 (MI)
- Practice address
- 25143 Dallas Dr
Grosse Ile, MI 48138-1755 - Phone
- (734) 771-4847
- NPI assigned
- Jun 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502000567 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502000567 | MI | Yes |
Addresses
Primary practice location
25143 Dallas Dr
Grosse Ile, MI 48138-1755
Mailing address
25143 Dallas Dr
Grosse Ile, MI 48138-1755
Other providers in Grosse Ile, MI
- Kevin Kwan
- Elizabeth A Leon
- Lifelong Family Dentistry PLLC
- Live Well Counseling and Wellness
- Loving Care Services Inc.
- Charlie Metwele
- Michael J Vilag DDS PC
- Michigan Brain and Spine Surgeons, PC
- Mojo Home Health Care Agency
- Beverly Taylor Morris
All providers in Grosse Ile, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.