Patricia Anita Grier, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

55-01001973 Issued in MI

Practice address

1900 S Lachance Rd
Lake City, MI 49651-8022

Phone

(231) 775-3081

NPI assigned

Sep 11, 2012

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

Other names 1

• Miss Patricia Anita Davenport Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1285984955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 S BIRCH HAVEN BEACH DR",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496518630",
            "telephone_number": "231-295-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S LACHANCE RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496518022",
            "telephone_number": "231-775-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIER",
        "first_name": "PATRICIA",
        "middle_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "55-01001973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "DAVENPORT",
            "middle_name": "ANITA",
            "prefix": "MISS",
            "credential": "MS, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Lake City, MI
• Providers in Lake City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.