Active NPI
Cheryl Gay
- Physical Therapy Assistant
- Traverse City, MI
National Provider Identifier
1386002194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- L469925
- Practice address
- 812 S Garfield Ave
Suite 1
Traverse City, MI 49686-3456 - Phone
- (231) 421-9201
- NPI assigned
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 225200000X | L469925 | MI | Primary |
Addresses
Primary practice location
812 S Garfield Ave
Suite 1
Traverse City, MI 49686-3456
Mailing address
1420 Michigan Ave
Gladstone, MI 49837-1322
Phone (231) 676-7856
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 |
|---|---|---|---|
| L469925 | MI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech for All Seasons | Past | Accepting new patients | |
| Advanced Therapy Group, LLC | Physical Therapy Assistant | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Traverse City, MI
- NPI 1326391137
Physical Therapy Assistant
-
- Hearing and Speech Clinic/Center
- Traverse City, MI
- NPI 1790420693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1386002194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 MICHIGAN AVE",
"city": "GLADSTONE",
"state": "MI",
"postal_code": "498371322",
"telephone_number": "231-676-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 S GARFIELD AVE",
"address_2": "SUITE 1",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863456",
"telephone_number": "231-421-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "L469925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.