Rachelle Ann Petit, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502001024 Issued in MI

Practice address

6257 Telegraph Rd
Bloomfield Hills, MI 48301-1622

Phone

(734) 250-2548

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1629704945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 E FOX HILLS DR UNIT 142",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041361",
            "telephone_number": "734-250-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 TELEGRAPH RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011622",
            "telephone_number": "734-250-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIT",
        "first_name": "RACHELLE",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NetHealth",
            "affiliation": "N",
            "endpointDescription": "Electronic  documentation software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6257 Telegraph Rd",
            "city": "Bloomfield Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483011622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gisele Pena
• Matthew Perez, PHARMD
• Alexandra Michelle Peri, DDS
• Perry Drug Stores Inc and Subsidiaries (Rite Aid Pharmacy 04452)
• Gretchen Perry-Emery
• Angela Petz, LPC
• Arianna Phillips, CPNP-PC
• Jamie Phillips, LPC, NCC
• Physician Universe, PLLC
• Physicians Compounding Pharmacy

• Physical Therapy Assistant in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.