Mary Grace Lagare, PTR

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016114 Issued in MI

Practice address

4554 W 48TH St
Fremont, MI 49412-8721

Phone

(619) 838-1728

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Physical Therapist

  NPD

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1487080842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494120163",
            "telephone_number": "619-838-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 W 48TH ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494128721",
            "telephone_number": "619-838-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGARE",
        "first_name": "MARY GRACE",
        "credential": "PTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Elisa Klukos, MS,PT
• Kathleen Curtis Korstange, M.A,
• Cheryl Lee Kublin, OTR-L
• Jeremy James Kuiper, M.D.
• Trisha Kulczyski, R.N.
• David Ervin Langholz, M.D.
• Heather Renae Lashuay, LLPC
• Gabrielle Ann Lawrence, DMD
• Kristin Lynn Le Bel, PA
• Leisure Living Management of Fremont, Inc. (Fountain View of Fremont - Laboratory)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.