Individual provider Active NPI

Maryann Howard, D.P.T.

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1649400250
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014580 Issued in MI
Practice address
5400 S Pennsylvania Ave
Lansing, MI 48911-4049
Phone
(517) 393-7325
Fax
(517) 393-2320
NPI assigned
Jul 16, 2009
Last updated
May 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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 5501014580 MI Primary

Addresses

Primary practice location

5400 S Pennsylvania Ave
Lansing, MI 48911-4049

Mailing address

5400 S Pennsylvania Ave
Lansing, MI 48911-4049
Phone (517) 393-7325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200413000422 MI Practitioner - Physical Therapist in Private Practice 6507112000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jdr74 Holdings, LLCGroup PAC ID 8325302748, 3 clinicians

Practice addresses (Care Compare)

13060 S US Hwy 27
Suite C4
Dewitt, MI 48820-8619
Phone (517) 668-6561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1649400250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S PENNSYLVANIA AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114049",
            "telephone_number": "517-393-7325",
            "fax_number": "517-393-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S PENNSYLVANIA AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114049",
            "telephone_number": "517-393-7325",
            "fax_number": "517-393-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MARYANN",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.