Individual provider Active NPI

Rebecca A Manring, PT

  • Physical Therapist
  • Shelby TWP, MI
National Provider Identifier
1477856375
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009546 Issued in MI
Practice address
51850 Dequindre Rd
Ste 1
Shelby TWP, MI 48316-2806
Phone
(586) 991-0801
NPI assigned
Dec 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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 5501009546 MI Primary

Addresses

Primary practice location

51850 Dequindre Rd
Ste 1
Shelby TWP, MI 48316-2806

Mailing address

245 Barclay Cir
Ste 400
Rochester Hills, MI 48307-5812
Phone (586) 991-0801

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

LicenseStateTypeSpecialty
5501009546MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1477856375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BARCLAY CIR",
            "address_2": "STE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075812",
            "telephone_number": "586-991-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51850 DEQUINDRE RD",
            "address_2": "STE 1",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483162806",
            "telephone_number": "586-991-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRING",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.