Active NPI
Mia Houston
- Physical Therapy Assistant
- Warren, MI
National Provider Identifier
1588037824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502003842
- Practice address
- 27472 Schoenherr Rd
Suite 130
Warren, MI 48088-6688 - Phone
- (586) 439-6243
- Fax
- (586) 439-6240
- NPI assigned
- Nov 9, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502003842 | MI | Primary |
Addresses
Primary practice location
27472 Schoenherr Rd
Suite 130
Warren, MI 48088-6688
Mailing address
27472 Schoenherr Rd
Suite 130
Warren, MI 48088-6688
Phone (586) 439-6243
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 |
|---|---|---|---|
| 5502003842 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1588037824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27472 SCHOENHERR RD",
"address_2": "SUITE 130",
"city": "WARREN",
"state": "MI",
"postal_code": "480886688",
"telephone_number": "586-439-6243",
"fax_number": "586-439-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27472 SCHOENHERR RD",
"address_2": "SUITE 130",
"city": "WARREN",
"state": "MI",
"postal_code": "480886688",
"telephone_number": "586-439-6243",
"fax_number": "586-439-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "MIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502003842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.