Individual provider Active NPI

Joanna A Martin, DPT

  • Physical Therapist
  • Shelby Township, MI
National Provider Identifier
1689182404
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018545 Issued in MI
Practice address
54945 Mound Rd
Shelby Township, MI 48316-6028
Phone
(586) 992-1500
Fax
(586) 992-8050
NPI assigned
Jan 15, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 5501018545 MI Primary

Addresses

Primary practice location

54945 Mound Rd
Shelby Township, MI 48316-6028

Mailing address

54945 Mound Rd
Shelby Township, MI 48316-6028
Phone (586) 992-1500

Other practice location 1

2558 N Squirrel Rd
Auburn Hills, MI 48326-2383
Phone (248) 340-1100

Other names 1

  • Miss Joanna A Cogiel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125000433 MI Practitioner - Physical Therapist in Private Practice 7517226228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Spine and Sports Therapy IncGroup PAC ID 6901814888, 4 clinicians

Practice addresses (Care Compare)

54945 Mound Rd
Shelby Township, MI 48316-6028
Phone (586) 992-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Spine & Sports Inc Past Accepting new patients
Orthopedic Spine & Sports Therapy Ah, Inc Physical Therapist PastSince Apr 1, 2013 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689182404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54945 MOUND RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483166028",
            "telephone_number": "586-992-1500",
            "fax_number": "586-992-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54945 MOUND RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483166028",
            "telephone_number": "586-992-1500",
            "fax_number": "586-992-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2558 N Squirrel Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483262383",
            "country_code": "US",
            "telephone_number": "248-340-1100",
            "fax_number": "248-340-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOANNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "COGIEL",
            "middle_name": "A",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.