Active NPI
Linda Mansour, P.T.A
- Physical Therapy Assistant
- Macomb, MI
National Provider Identifier
1538370648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- Medical Center, Macomb TWP, 15979 Hall Rd
Suite 150
Macomb, MI 48044 - Phone
- (586) 416-8430
- Fax
- (586) 416-8440
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
Medical Center, Macomb TWP, 15979 Hall Rd
Suite 150
Macomb, MI 48044
Mailing address
Medical Center, Macomb TWP,15979 Hall Road
Suite150
Macomb, MI 48044
Phone (586) 416-8430
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Beaumont Hospital | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538370648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER, MACOMB TWP,15979 HALL ROAD",
"address_2": "SUITE150",
"city": "MACOMB",
"state": "MI",
"postal_code": "48044",
"telephone_number": "586-416-8430",
"fax_number": "586-416-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER, MACOMB TWP, 15979 HALL RD",
"address_2": "SUITE 150",
"city": "MACOMB",
"state": "MI",
"postal_code": "48044",
"telephone_number": "586-416-8430",
"fax_number": "586-416-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOUR",
"first_name": "LINDA",
"credential": "P.T.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.