Mary Sue Styma-Wagner, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

35746 Harper Ave
Clinton Township, MI 48035-3212

Phone

(586) 791-9203

NPI assigned

Feb 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234656000000",
    "number": "1689813610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16683 ENGLISH GARDEN DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480421199",
            "telephone_number": "586-992-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35746 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353212",
            "telephone_number": "586-791-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYMA-WAGNER",
        "first_name": "MARY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-15",
        "last_updated": "2009-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhett Strika
• Rhiannon Strika, M.A.
• Jaimee Nicole Stull, PA-C
• McKenna Nicole Stulz
• Nicole Elizabeth Stuve, BEHAVIOR TECHNICIAN
• Wei Su, MD
• Mohanad Suede, MD
• Ramadevi Sukumar
• Ayman Mohamed Suleiman, MD
• Summit Surgical Center LLC

• Physical Therapy Assistant in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2009; 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.