Individual provider Active NPI

Michelle Haney, P.T.

  • Physical Therapist
  • Grand Blanc, MI
National Provider Identifier
1528497476
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010819 Issued in MI
Practice address
8273 S Saginaw St Ste B
Grand Blanc, MI 48439-2465
Phone
(810) 579-7184
Fax
(810) 230-8799
NPI assigned
Nov 1, 2013
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 5501010819 MI Primary

Addresses

Primary practice location

8273 S Saginaw St Ste B
Grand Blanc, MI 48439-2465

Mailing address

1289 S Linden Rd Ste a
Flint, MI 48532-3499
Phone (248) 857-6776

Other practice location 1

3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Phone (248) 857-6776

Other practice location 2

1289 S Linden Rd Ste A
Flint, MI 48532-3499
Phone (248) 857-6776

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
5501010819MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1528497476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 S LINDEN RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323499",
            "telephone_number": "248-857-6776",
            "fax_number": "248-857-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8273 S SAGINAW ST STE B",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392465",
            "telephone_number": "810-579-7184",
            "fax_number": "810-230-8799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Centerpoint Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483413116",
            "country_code": "US",
            "telephone_number": "248-857-6776",
            "fax_number": "248-857-7102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1289 S Linden Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323499",
            "country_code": "US",
            "telephone_number": "248-857-6776",
            "fax_number": "248-857-7102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEY",
        "first_name": "MICHELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.