Organization Active NPI

Lexington Physical Therapy PLLC

  • Physical Therapist
  • Lexington, MI
National Provider Identifier
1689347254
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Huston
Title
Biller
Phone
(810) 359-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5590 Main St Ste 4
Lexington, MI 48450-9383

Mailing address

PO Box 416
Lexington, MI 48450-0416
Phone (810) 359-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.