Active NPI
Michigan State University
- Physical Therapist
- East Lansing, MI
National Provider Identifier
1467556720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MICHIGAN STATE UNIVERSITY
- Practice address
- 463 E Circle Dr
East Lansing, MI 48824-7500 - Phone
- (517) 355-4510
- NPI assigned
- Sep 8, 2006
- Last updated
- Apr 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Rucker
- Title
- Enrollment & Patient Accts Manager
- Phone
- (517) 355-8462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
463 E Circle Dr
East Lansing, MI 48824-7500
Mailing address
804 Service Rd # A109F
East Lansing, MI 48824-7015
Phone (517) 884-2976
National Provider Directory
National Provider DirectoryLocations
463 E Circle Dr
East Lansing, MI 48824
Phone (517) 355-8237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522886400000",
"number": "1467556720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD # A109F",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 E CIRCLE DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247500",
"telephone_number": "517-355-4510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN STATE UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2018-04-05",
"status": "A",
"authorized_official_last_name": "RUCKER",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "ENROLLMENT & PATIENT ACCTS MANAGER",
"authorized_official_telephone_number": "517-355-8462"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
- Michigan State University
- Michigan State University (Michigan State University Extension)
- Michigan State University
- Michigan State University
- Michigan State University
- Michigan State University
- Michigan State University (MSU HealthTeam)
- Michigan State University
- Michigan State University
- Michigan State University (University Physicians Office)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.