Active NPI
Amy Lynn Correa, MPT
- Physical Therapy Clinic/Center
- Warren, MI
National Provider Identifier
1346548914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 5501010495
- Practice address
- 29703 Hoover Rd
Warren, MI 48093-8901 - Phone
- (586) 582-0340
- Fax
- (586) 582-9540
- NPI assigned
- Mar 7, 2011
- Last updated
- Mar 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 5501010495 | MI | Primary |
Addresses
Primary practice location
29703 Hoover Rd
Warren, MI 48093-8901
Mailing address
29703 Hoover Rd
Warren, MI 48093-8901
Phone (586) 582-0340
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501010495 | MI | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendelson Orthopedics PC | Physical Therapy | Past | 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, 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": "1299456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299456000000",
"number": "1346548914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29703 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480938901",
"telephone_number": "586-582-0340",
"fax_number": "586-582-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29703 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480938901",
"telephone_number": "586-582-0340",
"fax_number": "586-582-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "AMY",
"middle_name": "LYNN",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-07",
"last_updated": "2011-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": "5501010495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.