Wingston Marri, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015049 Issued in MI

Practice address

481 Village Green LN
Monroe, MI 48162-3367

Phone

(734) 242-6282

Fax

(734) 242-6491

NPI assigned

Mar 14, 2013

Last updated

May 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1447591490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 VILLAGE GREEN LN",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623367",
            "telephone_number": "734-242-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 VILLAGE GREEN LN",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623367",
            "telephone_number": "734-242-6282",
            "fax_number": "734-242-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15700 Providence Dr",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753144",
            "country_code": "US",
            "telephone_number": "248-443-8044",
            "fax_number": "248-443-8033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRI",
        "first_name": "WINGSTON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-14",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740621762",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria T McMullin DDS PLLC (McMullin Dental Care)
• Karam Marji, DMD
• Mark a Snider MD PC
• Mark a. Eby D.D.S., P.C.
• Anna Marks
• Earl Mac Marshall Jr., MD
• Kimberly Diann Marshall, BSHS, MSP
• Felicia Martinez
• Serena Marie Martinez
• Sarah Grace Marx, LPN

• Physical Therapist in Monroe, MI
• Providers in Monroe, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.