Active NPI
Carla Marie Loeffler, PT, DPT
- Physical Therapist
- Ironwood, MI
National Provider Identifier
1437437894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015677
- Practice address
- N10561 Grandview LN
Physical Therapy/Rehab Department
Ironwood, MI 49938-9622 - Phone
- (906) 932-2525
- NPI assigned
- Aug 2, 2011
- Last updated
- Mar 17, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11835-24 | WI | |
| Physical Therapist | 225100000X | 5501015677 | MI | Primary |
Addresses
Primary practice location
N10561 Grandview LN
Physical Therapy/Rehab Department
Ironwood, MI 49938-9622
Mailing address
N10561 Grandview LN
Physical Therapy/Rehab Department
Ironwood, MI 49938-9622
Phone (906) 932-5990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501015677 | Other | MI | PHYSICAL THERAPY LICENSE ID NUMBER |
| 11835-24 | Other | WI | PHYSICAL THERAPY LICENSE NUMBER |
Other names 1
- Carla Marie Harris
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 |
|---|---|---|---|
| 11835-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1437437894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N10561 GRANDVIEW LN",
"address_2": "PHYSICAL THERAPY/REHAB DEPARTMENT",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "499389622",
"telephone_number": "906-932-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N10561 GRANDVIEW LN",
"address_2": "PHYSICAL THERAPY/REHAB DEPARTMENT",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "499389622",
"telephone_number": "906-932-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOEFFLER",
"first_name": "CARLA",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11835-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE ID NUMBER",
"identifier": "5501015677",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE NUMBER",
"identifier": "11835-24",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "HARRIS",
"middle_name": "MARIE",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ironwood, MI
- Alyssa Bryanne Lamaide, RN
- Dana Lynn Leannah, MOT, OTR/L
- Brianne Allyse Lehrkamp, PT, DPT
- Nancy Ann Levra, P.T.
- Marie Ann Lindquist, PT
- Peter Magnuson, PHARMD
- Mark E Stempihar, M.D., P.C. (Great Lakes Eye Specialists)
- Mark E Stempihar, M.D., P.C. (Great Lakes Eye Specialists)
- Mark E. Stempihar, M.D., P.C.
- Tina M Marshall, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.