Individual provider Active NPI

Angela Vannostrand, DPT

  • Physical Therapist
  • Bay City, MI
National Provider Identifier
1588326979
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501020248 Issued in MI
Practice address
720 Livingston St BSMT Suite
Bay City, MI 48708-6392
Phone
(989) 899-7828
NPI assigned
Oct 12, 2021
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501020248 MI Primary

Addresses

Primary practice location

720 Livingston St BSMT Suite
Bay City, MI 48708-6392

Mailing address

2105 5TH St
Bay City, MI 48708-6343
Phone (989) 971-8222

Other practice location 1

2600 N Saginaw Rd Ste C
Midland, MI 48640-2690
Phone (989) 837-1529

Other practice location 2

2105 5th St
Bay City, MI 48708-6343
Phone (989) 971-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116000466 MI Practitioner - Physical Therapist in Private Practice 9234528159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On the Move Physical Therapy and Rehabilitation, LLCGroup PAC ID 2668865908, 2 clinicians

Practice addresses (Care Compare)

720 Livingston St
BSMT Suite
Bay City, MI 48708-6392
Phone (989) 899-7828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501020248MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On the Move Physical Therapy and Rehabilitation, LLC Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients
Evergreen Physical Therapy Limited Partnership Multi-Specialty Current Accepting new patients

Locations

720 Livingston St
Bsmt
Bay City, MI 48708
Phone (989) 899-7828

107 Schoolcrest Ave
Clare, MI 48617
Phone (989) 386-9170

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1588326979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 5TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086343",
            "telephone_number": "989-971-8222",
            "fax_number": "989-971-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LIVINGSTON ST BSMT SUITE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086392",
            "telephone_number": "989-899-7828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 N Saginaw Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486402690",
            "country_code": "US",
            "telephone_number": "989-837-1529",
            "fax_number": "989-837-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 5th St",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487086343",
            "country_code": "US",
            "telephone_number": "989-971-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANNOSTRAND",
        "first_name": "ANGELA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.