Active NPI
Michelle Ann Marlow, P.T.
- Physical Therapist
- Macomb, MI
National Provider Identifier
1417055278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004111
- Practice address
- 17900 23 Mile Rd
Suite 401
Macomb, MI 48044-1161 - Phone
- (586) 868-9001
- NPI assigned
- Sep 20, 2006
- 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 Therapist | 225100000X | 5501004111 | MI | Primary |
Addresses
Primary practice location
17900 23 Mile Rd
Suite 401
Macomb, MI 48044-1161
Mailing address
1418 Courtland Blvd
Rochester Hills, MI 48307-1508
Phone (248) 650-3065
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 |
|---|---|---|---|
| 5501004111 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1417055278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 COURTLAND BLVD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483071508",
"telephone_number": "248-650-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 23 MILE RD",
"address_2": "SUITE 401",
"city": "MACOMB",
"state": "MI",
"postal_code": "480441161",
"telephone_number": "586-868-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLOW",
"first_name": "MICHELLE",
"middle_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.