Individual provider Active NPI

Lisha Danielle Slinde, P.T.

  • Physical Therapist
  • West Bloomfield, MI
National Provider Identifier
1649655465
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014267 Issued in MI
Practice address
7071 Orchard Lake Rd
Suite 333
West Bloomfield, MI 48322-3613
Phone
(248) 626-1114
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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 5501014267 MI Primary

Addresses

Primary practice location

7071 Orchard Lake Rd
Suite 333
West Bloomfield, MI 48322-3613

Mailing address

7071 Orchard Lake Rd
Suite 333
West Bloomfield, MI 48322-3613
Phone (248) 626-1114

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014267MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A. Peter Evangelista, MD, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1649655465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 ORCHARD LAKE RD",
            "address_2": "SUITE 333",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223613",
            "telephone_number": "248-626-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 ORCHARD LAKE RD",
            "address_2": "SUITE 333",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223613",
            "telephone_number": "248-626-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLINDE",
        "first_name": "LISHA",
        "middle_name": "DANIELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.