Active NPI
Jean Thomson Angel, PT
- Physical Therapist
- Wayne, MI
National Provider Identifier
1336640358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501009536
- Practice address
- 33000 Annapolis St Ste 210
Wayne, MI 48184-2920 - Phone
- (734) 467-4134
- Fax
- (734) 467-4699
- NPI assigned
- Feb 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501009536 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Healthcare Inc | Multi-Specialty | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501009536 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
33000 Annapolis St Ste 210
Wayne, MI 48184-2920
Mailing address
300 S Lafayette St
Dearborn, MI 48124-1316
Phone (313) 587-2520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2018.
{
"created_epoch": "1519516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519516800000",
"number": "1336640358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S LAFAYETTE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241316",
"telephone_number": "313-587-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33000 ANNAPOLIS ST STE 210",
"city": "WAYNE",
"state": "MI",
"postal_code": "481842920",
"telephone_number": "734-467-4134",
"fax_number": "734-467-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL",
"first_name": "JEAN",
"middle_name": "THOMSON",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-25",
"last_updated": "2018-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501009536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.