Stacey Lynn Florian, MSPT
Individual provider Active NPI Physical Therapist · Grand Ledge, MI
NPI 1487086450 · NPPES record last updated Aug 1, 2013
Key facts
- NPI
- 1487086450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501008106 (MI)
- Practice address
- 13445 Forest Hill Rd
Grand Ledge, MI 48837-9222 - Phone
- (517) 974-1489
- NPI assigned
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170921003358 | MI | Practitioner - Physical Therapist in Private Practice | 8325312812 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501008106 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current |
Accepting new patients | |
| Physiotherapy Associates, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501008106 | MI | Yes |
Addresses
Primary practice location
13445 Forest Hill Rd
Grand Ledge, MI 48837-9222
Mailing address
13445 Forest Hill Rd
Grand Ledge, MI 48837-9222
Phone (517) 974-1489
Other providers in Grand Ledge, MI
- Kenneth Wynne Evans
- Eyes Optometry PLLC
- Chelsea May Fenner
- Jeffrey Michael Fitzgerald
- Five CS Communication Care PLC
- Robert Lee Foster
- Alison Fox
- Paige Nicole Frey
- Cecilia Ynez Garcia
- Robyn D Gazall
All providers in Grand Ledge, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.