Active NPI
Joseph Noel Lippo, P.T.
- Physical Therapist
- Wyandotte, MI
National Provider Identifier
1700942489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501000644
- Practice address
- 3200 Biddle St
Wyandotte, MI 48192-5937 - Phone
- (734) 284-4499
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- 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 | 5501000644 | MI | Primary |
Addresses
Primary practice location
3200 Biddle St
Wyandotte, MI 48192-5937
Mailing address
26870 Coachlight St
Woodhaven, MI 48183-4395
Phone (734) 676-6253
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501000644 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700942489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26870 COACHLIGHT ST",
"city": "WOODHAVEN",
"state": "MI",
"postal_code": "481834395",
"telephone_number": "734-676-6253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 BIDDLE ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481925937",
"telephone_number": "734-284-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPO",
"first_name": "JOSEPH",
"middle_name": "NOEL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501000644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.