Active NPI
Lisa A McCarrell, PT
- Physical Therapist
- Jonesville, MI
National Provider Identifier
1679694087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LM004006
- Practice address
- 865 Olds St Ste D4
Jonesville, MI 49250-9478 - Phone
- (517) 849-7040
- Fax
- (517) 849-7050
- NPI assigned
- Apr 3, 2007
- 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 | LM004006 | MI | Primary |
Addresses
Primary practice location
865 Olds St Ste D4
Jonesville, MI 49250-9478
Mailing address
206 Page Ave
Jackson, MI 49201-2418
Phone (517) 783-6670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650C857070 | Other | MI | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LM004006 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1679694087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 PAGE AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012418",
"telephone_number": "517-783-6670",
"fax_number": "517-783-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 OLDS ST STE D4",
"city": "JONESVILLE",
"state": "MI",
"postal_code": "492509478",
"telephone_number": "517-849-7040",
"fax_number": "517-849-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARRELL",
"first_name": "LISA",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "LM004006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "650C857070",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jonesville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.