Individual provider Active NPI

Marie Jane Rojo-Ingalla, PT,CBIS

  • Physical Therapist
  • Midland, MI
National Provider Identifier
1689013286
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501003661 Issued in MI
Practice address
2707 Ashman St
Midland, MI 48640-4449
Phone
(989) 631-1100
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 5501003661 MI Primary

Addresses

Primary practice location

2707 Ashman St
Midland, MI 48640-4449

Mailing address

3902 Applewood Rd
Midland, MI 48640-2685
Phone (989) 839-1027

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
5501003661MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Head Injury Therapy Services Inc. PastSince Jun 1, 2014 Accepting new patients

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1689013286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 APPLEWOOD RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402685",
            "telephone_number": "989-839-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 ASHMAN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404449",
            "telephone_number": "989-631-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJO-INGALLA",
        "first_name": "MARIE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PT,CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.