Active NPI
Pamela Wilcox
- Mechanotherapist
- Warren, MI
National Provider Identifier
1598156382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 7501002099
- Practice address
- 29344 Hoover Rd
Ste 206
Warren, MI 48093-3441 - Phone
- (810) 208-9223
- Fax
- (810) 208-9223
- NPI assigned
- Feb 14, 2015
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 7501002099 | MI | Primary |
Addresses
Primary practice location
29344 Hoover Rd
Ste 206
Warren, MI 48093-3441
Mailing address
29344 Hoover Rd
Ste 206
Warren, MI 48093-3441
Phone (810) 208-9223
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 |
|---|---|---|---|
| 7501002099 | MI | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423872000000",
"number": "1598156382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29344 HOOVER RD",
"address_2": "STE 206",
"city": "WARREN",
"state": "MI",
"postal_code": "480933441",
"telephone_number": "810-208-9223",
"fax_number": "810-208-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29344 HOOVER RD",
"address_2": "STE 206",
"city": "WARREN",
"state": "MI",
"postal_code": "480933441",
"telephone_number": "810-208-9223",
"fax_number": "810-208-9223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-14",
"last_updated": "2015-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MI",
"license": "7501002099",
"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 Feb 14, 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.