Active NPI
Lexington Physical Therapy PLLC
- Physical Therapist
- Lexington, MI
National Provider Identifier
1689347254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LEXINGTON PHYSICAL THERAPY PLLC
- Practice address
- 5590 Main St Ste 4
Lexington, MI 48450-9383 - Phone
- (810) 359-8700
- Fax
- (810) 359-8702
- NPI assigned
- Jul 29, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Amy Huston
- Title
- Biller
- Phone
- (810) 359-8700
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Lexington, MI
- NPI 1790743201
-
- Occupational Therapist
- Brockway, MI
- NPI 1174088322
-
- Physical Therapist
- Yale, MI
- NPI 1215065271
-
- Physical Therapist
- Brockway, MI
- NPI 1679659924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211025001539 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2769870765 |
Receives reassigned benefits from 3 practitioners Practice locations: Lexington, MI |
National Provider Directory
National Provider DirectoryLocations
5590 Main St
Ste 4
Lexington, MI 48450
Phone (810) 359-8700
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5590 Main St Ste 4
Lexington, MI 48450-9383
Mailing address
PO Box 416
Lexington, MI 48450-0416
Phone (810) 359-8700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2021.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629331200000",
"number": "1689347254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416",
"city": "LEXINGTON",
"state": "MI",
"postal_code": "484500416",
"telephone_number": "810-359-8700",
"fax_number": "810-359-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5590 MAIN ST STE 4",
"city": "LEXINGTON",
"state": "MI",
"postal_code": "484509383",
"telephone_number": "810-359-8700",
"fax_number": "810-359-8702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-29",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A",
"authorized_official_last_name": "HUSTON",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "810-359-8700"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.