Active NPI
Sean Marquette
- Physical Therapist
- Bingham Farms, MI
National Provider Identifier
1740654706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011682
- Practice address
- 30800 Telegraph Rd
Ste 1728
Bingham Farms, MI 48025-4542 - Phone
- (248) 967-8741
- NPI assigned
- Nov 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 5501011682 | MI | Primary |
Addresses
Primary practice location
30800 Telegraph Rd
Ste 1728
Bingham Farms, MI 48025-4542
Mailing address
30800 Telegraph Rd
Ste 1728
Bingham Farms, MI 48025-4542
Phone (248) 967-8741
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 |
|---|---|---|---|
| 5501011682 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1740654706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30800 TELEGRAPH RD",
"address_2": "STE 1728",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254542",
"telephone_number": "248-967-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30800 TELEGRAPH RD",
"address_2": "STE 1728",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254542",
"telephone_number": "248-967-8741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUETTE",
"first_name": "SEAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.