Individual provider Active NPI

Lena Slater Ross

  • Physical Therapist
  • Saint Clair Shores, MI
National Provider Identifier
1609990753
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010880 Issued in MI
Practice address
24715 Little Mack Ave
Suite 100
Saint Clair Shores, MI 48080-3207
Phone
(586) 779-7970
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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 5501010880 MI Primary

Addresses

Primary practice location

24715 Little Mack Ave
Suite 100
Saint Clair Shores, MI 48080-3207

Mailing address

2480 Gerald Ave
Rochester Hills, MI 48307-4728
Phone (586) 596-2321

Other practice location 1

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-4014

Other names 1

  • Mrs. Lena Slater Reid Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000421 MI Practitioner - Physical Therapist in Private Practice 1557431566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Orthopedists of Detroit PCGroup PAC ID 3375440134, 17 clinicians

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 120
Shelby Township, MI 48315-3140
Phone (586) 412-1411

Merit-based Incentive Payment System (MIPS)

Final score
88.14 of 100Reported as group
Quality
80.64
Promoting interoperability
100
Improvement activities
40
Cost
79.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Orthopedists of Detroit PC Physical Therapist CurrentSince Jun 21, 2008 Accepting new patients
Associated Orthopedists of Detroit, PC Physical Therapist CurrentSince Jun 21, 2008 Accepting new patients

Locations

50505 Schoenherr Rd
Ste 120
Shelby Township, MI 48315
Phone (586) 412-1411

24715 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 779-2585

24715 Little Mack Ave
St Clr Shores, MI 48080
Phone (586) 777-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24034/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lena.ross.1@24034.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1609990753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 GERALD AVE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074728",
            "telephone_number": "586-596-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE",
            "address_2": "SUITE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-779-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44201 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LENA",
        "middle_name": "SLATER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENA",
            "last_name": "REID",
            "middle_name": "SLATER",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.