Active NPI
Laura Bell, PT
- Physical Therapist
- Waterford, MI
National Provider Identifier
1669650321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005380
- Practice address
- 4206 Pontiac Lake Rd
Waterford, MI 48328-1261 - Phone
- (248) 673-2762
- Fax
- (248) 673-3347
- NPI assigned
- Feb 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501005380 | MI | Primary |
Addresses
Primary practice location
4206 Pontiac Lake Rd
Waterford, MI 48328-1261
Mailing address
4206 Pontiac Lake Rd
Waterford, MI 48328-1261
Phone (248) 673-2762
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1669650321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4206 PONTIAC LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281261",
"telephone_number": "248-673-2762",
"fax_number": "248-673-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4206 PONTIAC LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281261",
"telephone_number": "248-673-2762",
"fax_number": "248-673-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "LAURA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.