NPIMap

Individual provider Active NPI

Rachel D Lethorn, PA-C, ATC

  • Physician Assistant
  • Brighton, MI
National Provider Identifier
1285601518
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003608 Issued in MI
Practice address
10381 Citation Dr Ste 250
Brighton, MI 48116-6528
Phone
(810) 626-3036
Fax
(810) 202-1044
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physician Assistant 363A00000X 5601003608 MI Primary

Addresses

Primary practice location

10381 Citation Dr Ste 250
Brighton, MI 48116-6528

Mailing address

5275 Timber Bend Dr
Brighton, MI 48116-7797
Phone (248) 880-8815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180328000544 MI Practitioner - Physician Assistant 7810259074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med Sports Vantage PLLCGroup PAC ID 3476815630, 3 clinicians

Practice addresses (Care Compare)

210 S E St
Suite 2
Brighton, MI 48116-1592
Phone (810) 626-3036

Hospital & facility affiliations

  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003608MIMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: rlethorn936530@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1285601518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 TIMBER BEND DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167797",
            "telephone_number": "248-880-8815",
            "fax_number": "810-202-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10381 CITATION DR STE 250",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166528",
            "telephone_number": "810-626-3036",
            "fax_number": "810-202-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETHORN",
        "first_name": "RACHEL",
        "middle_name": "D",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.