Individual provider Active NPI

Myra-Lynn Hufnagel, PT,DPT, CERT.MDT

  • Physical Therapist
  • Ypsilanti, MI
National Provider Identifier
1720304199
Registry record updated Apr 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009143 Issued in MI
Practice address
6069 Woodpecker CT
Ypsilanti, MI 48197-6221
Phone
(734) 754-1479
NPI assigned
Apr 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2010

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 5501009143 MI Primary

Addresses

Primary practice location

6069 Woodpecker CT
Ypsilanti, MI 48197-6221

Mailing address

6069 Woodpecker CT
Ypsilanti, MI 48197-6221
Phone (734) 754-1479

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121229000009 MI Practitioner - Physical Therapist in Private Practice 6103079025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6069 Woodpecker CT
Ypsilanti, MI 48197-6221
Phone (734) 754-1479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501009143MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tru-Care Therapy Center LLC Physical Therapist CurrentSince Jan 27, 2023 Accepting new patients
Movewise Wellness and Physical Therapy PLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Movewise Wellness, Inc Physical Therapist PastSince May 9, 2023 Accepting new patients

Locations

2111 Golfside Rd
Ste 5
Ypsilanti, MI 48197
Phone (248) 965-3796

Organizations & group practices 3

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": "1270857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270857600000",
    "number": "1720304199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 WOODPECKER CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976221",
            "telephone_number": "734-754-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 WOODPECKER CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976221",
            "telephone_number": "734-754-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFNAGEL",
        "first_name": "MYRA-LYNN",
        "credential": "PT,DPT, CERT.MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-10",
        "last_updated": "2010-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.