Individual provider Active NPI

Cheris Grasse, MPT

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1336652148
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010284 Issued in MI
Practice address
3960 Patient Care Dr Ste 117
Lansing, MI 48911-4279
Phone
(517) 325-0996
Fax
(517) 882-8940
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 5501010284 MI Primary

Addresses

Primary practice location

3960 Patient Care Dr Ste 117
Lansing, MI 48911-4279

Mailing address

20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027
Phone (734) 953-1745

Other practice location 1

20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027
Phone (734) 953-1745

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fare to Freedom PastSince Nov 13, 2017 Accepting new patients

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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336652148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 VICTOR PKWY STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527027",
            "telephone_number": "734-953-1745",
            "fax_number": "734-953-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE DR STE 117",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114279",
            "telephone_number": "517-325-0996",
            "fax_number": "517-882-8940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20000 Victor Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481527027",
            "country_code": "US",
            "telephone_number": "734-953-1745",
            "fax_number": "734-953-1743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSE",
        "first_name": "CHERIS",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.