Active NPI
Joanna A Martin, DPT
- Physical Therapist
- Shelby Township, MI
National Provider Identifier
1689182404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018545
- 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, 2018
- 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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Spine & Sports Inc | Past | Accepting new patients | |
| Orthopedic Spine & Sports Therapy Ah, Inc | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Shelby Township, MI
- NPI 1154519064
-
- Physical Therapy Clinic/Center
- Rochester, MI
- NPI 1639694383
-
- Physical Therapy Clinic/Center
- Auburn Hills, MI
- NPI 1841530888
Physical Therapist
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.