Individual provider Active NPI

Jean Thomson Angel, PT

  • Physical Therapist
  • Wayne, MI
National Provider Identifier
1336640358
Registry record updated Feb 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009536 Issued in MI
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

LicenseStateTypeSpecialty
5501009536MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Healthcare Inc Multi-Specialty Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501009536 MI Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.