Individual provider Active NPI

Jessica Ling, DPT

  • Physical Therapist
  • Novi, MI
National Provider Identifier
1710683586
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302448 Issued in MI
Practice address
42350 Grand River Ave
Novi, MI 48375-1838
Phone
(248) 697-2942
NPI assigned
Feb 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501302448 MI Primary

Addresses

Primary practice location

42350 Grand River Ave
Novi, MI 48375-1838

Mailing address

42350 Grand River Ave
Novi, MI 48375-1838
Phone (248) 697-2942

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

LicenseStateTypeSpecialty
5501302448MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Physical Medicine PLLC CurrentSince Feb 8, 2023 Accepting new patients

Locations

42350 Grand River Ave
Novi, MI 48375
Phone (248) 697-2942

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCJACD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1710683586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42350 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751838",
            "telephone_number": "248-697-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42350 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751838",
            "telephone_number": "248-697-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.