Individual provider Active NPI

Sherry McLaughlin

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1447340427
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004256 Issued in MI
Practice address
2265 Livernois
Suite 700
Troy, MI 48083-1639
Phone
(248) 269-0230
Fax
(248) 269-0231
NPI assigned
Oct 13, 2006
Last updated
Sep 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501004256 MI Primary

Addresses

Primary practice location

2265 Livernois
Suite 700
Troy, MI 48083-1639

Mailing address

2265 Livernois
Suite 700
Troy, MI 48083-1639
Phone (248) 269-0230

Other identifiers 1

IdentifierTypeStateIssuer
650F396850OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202001042 MI Practitioner - Physical Therapist in Private Practice 0749240315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute for Human Performance IncGroup PAC ID 3779534169, 2 clinicians

Practice addresses (Care Compare)

2265 Livernois Rd
Troy, MI 48083-1639
Phone (248) 269-0230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Institute for Human Performance Inc Physical Therapist CurrentSince Jan 1, 2005 Accepting new patients

Locations

4245 W 14 Mile Rd
Royal Oak, MI 48073
Phone (248) 549-8840

2265 Livernois Rd
Troy, MI 48083
Phone (248) 269-0230

2265 Livernois Rd
Ste 700
Troy, MI 48083
Phone (248) 269-0230

31500 Dequindre Rd
Warren, MI 48092
Phone (586) 268-6942

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1447340427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS",
            "address_2": "SUITE 700",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831639",
            "telephone_number": "248-269-0230",
            "fax_number": "248-269-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS",
            "address_2": "SUITE 700",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831639",
            "telephone_number": "248-269-0230",
            "fax_number": "248-269-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "SHERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "650F396850",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.