Nancy Jean Fales, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003702 Issued in MI

Practice address

6385 E 22 Mile Rd
Sand Lake, MI 49343-8985

Phone

(616) 826-0668

NPI assigned

Jan 20, 2020

Last updated

Jan 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366
  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1649800574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 E 22 MILE RD",
            "city": "SAND LAKE",
            "state": "MI",
            "postal_code": "493438985",
            "telephone_number": "616-826-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 E 22 MILE RD",
            "city": "SAND LAKE",
            "state": "MI",
            "postal_code": "493438985",
            "telephone_number": "616-826-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALES",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Acton
• Blooming in Postpartum
• Doglady Therapy LLC
• Gift of Faith Home Health Care Services LLC
• Kiylee Marie Gorter
• Dolores Anne Huizinga, RN
• Shannon Marie Maurer
• Katie Nardone

• Physical Therapist in Sand Lake, MI
• Providers in Sand Lake, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.