Active NPI
Lynne Moran, PT
- Orthopedic Physical Therapist
- Grayling, MI
National Provider Identifier
1700026002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5501001324
- Practice address
- 1107 E Michigan Ave # 1
Grayling, MI 49738-1311 - Phone
- (989) 348-3027
- Fax
- (989) 348-4246
- NPI assigned
- Feb 26, 2009
- Last updated
- May 29, 2012
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5501001324 | MI | Primary |
Addresses
Primary practice location
1107 E Michigan Ave # 1
Grayling, MI 49738-1311
Mailing address
1107 E Michigan Ave # 1
Grayling, MI 49738-1311
Phone (989) 348-3027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4775287 | Medicaid | MI |
Other names 1
- Lynn C Moran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Physical Therapy Inc | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
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": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1700026002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 E MICHIGAN AVE # 1",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497381311",
"telephone_number": "989-348-3027",
"fax_number": "989-348-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 E MICHIGAN AVE # 1",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497381311",
"telephone_number": "989-348-3027",
"fax_number": "989-348-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MI",
"license": "5501001324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4775287",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "MORAN",
"middle_name": "C",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Grayling, MI
- MHSN Mercy Family Medicine
- MHSN Mercy Family Medicine
- George E Miller III, M.D.
- Michelle Money, R.PH.
- Karly Montgomery, PA-C
- Munson Healthcare Grayling
- Munson Healthcare Grayling
- Munson Healthcare Grayling
- Munson Healthcare Grayling (Milltown Clinic)
- Munson Healthcare Grayling (Munson Healthcare Grayling Physician Network)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.