Individual provider Active NPI

Mary Jane Ogoy-Ferrer, P.T.

  • Physical Therapist
  • Clinton Township, MI
National Provider Identifier
1336434331
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007902 Issued in MI
Practice address
43191 Dalcoma Dr Ste 105
Clinton Township, MI 48038-6308
Phone
(586) 646-2962
Fax
(586) 480-2842
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501007902 MI Primary

Addresses

Primary practice location

43191 Dalcoma Dr Ste 105
Clinton Township, MI 48038-6308

Mailing address

4807 Bruner Dr
Sterling Heights, MI 48310-2604
Phone (248) 495-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000048 MI Practitioner - Physical Therapist in Private Practice 6800879495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Place of Healing Physical Therapy LLC Physical Therapist CurrentSince Nov 18, 2022 Accepting new patients

Locations

43191 Dalcoma Dr
Ste 105
Clinton Twp, MI 48038
Phone (224) 587-8126

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1336434331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 BRUNER DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102604",
            "telephone_number": "248-495-0605",
            "fax_number": "586-939-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43191 DALCOMA DR STE 105",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386308",
            "telephone_number": "586-646-2962",
            "fax_number": "586-480-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGOY-FERRER",
        "first_name": "MARY JANE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.