Ermie Amoguis, PT
Individual provider Active NPI Physical Therapist · Holt, MI
NPI 1396209342 · NPPES record last updated Jan 24, 2019
Key facts
- NPI
- 1396209342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501005499 (MI)
- Practice address
- 5015 Oconnor Dr
Holt, MI 48842-2919 - Phone
- (517) 896-4745
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501005499 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501005499 | MI | Yes |
Addresses
Primary practice location
5015 Oconnor Dr
Holt, MI 48842-2919
Mailing address
5015 Oconnor Dr
Holt, MI 48842-2919
Phone (517) 896-4745
Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.