Active NPI
Laura Amanda Thornton, C.T.R.S.
- Case Manager/Care Coordinator
- Southfield, MI
National Provider Identifier
1477892776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 22170 W 9 Mile Rd
Southfield, MI 48033-6007 - Phone
- (248) 372-6800
- NPI assigned
- Feb 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 62059 | MI | |
| Case Manager/Care Coordinator | 171M00000X | MI | Primary |
Addresses
Primary practice location
22170 W 9 Mile Rd
Southfield, MI 48033-6007
Mailing address
44441 Savery Dr
Canton, MI 48187-2929
Phone (765) 250-0189
Other practice location 1
35514 Indigo Dr
Sterling Heights, MI 48310-4946
Phone (586) 212-2671
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62059 | MI | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Concepts, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Sterling Heights, MI
- NPI 1497989263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1477892776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44441 SAVERY DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481872929",
"telephone_number": "765-250-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22170 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480336007",
"telephone_number": "248-372-6800"
}
],
"practiceLocations": [
{
"address_1": "35514 Indigo Dr",
"address_purpose": "LOCATION",
"city": "Sterling Heights",
"state": "MI",
"postal_code": "483104946",
"country_code": "US",
"telephone_number": "586-212-2671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THORNTON",
"first_name": "LAURA",
"middle_name": "AMANDA",
"credential": "C.T.R.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "62059",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.