Individual provider Active NPI

Jill Anne Marlan, PT, MSPT, OMPT

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1346287869
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010459 Issued in MI
Practice address
7402 Westshire Dr Ste 150
Lansing, MI 48917-8988
Phone
(517) 853-6800
Fax
(517) 853-6801
NPI assigned
Jun 1, 2006
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 5501010459 MI Primary

Addresses

Primary practice location

7402 Westshire Dr Ste 150
Lansing, MI 48917-8988

Mailing address

7402 Westshire Dr Ste 105
Lansing, MI 48917-8687
Phone (517) 853-6800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000969 MI Practitioner - Physical Therapist in Private Practice 5698715324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Performance Physical Therapy PLCGroup PAC ID 2769660521, 25 clinicians

Practice addresses (Care Compare)

7402 Westshire Dr
Suite 105
Lansing, MI 48917-8687
Phone (517) 853-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501010459MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy, PLC Physical Therapist CurrentSince Jun 1, 2011 Accepting new patients
Ryan and Monica Wohlfert, PC CurrentSince Jun 1, 2011 Accepting new patients

Locations

7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1346287869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178687",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 150",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178988",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLAN",
        "first_name": "JILL",
        "middle_name": "ANNE",
        "credential": "PT, MSPT, OMPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010459",
            "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 Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.