Active NPI
Carol Lumsden, PTA CMT
- Massage Therapist
- Flint, MI
National Provider Identifier
1750686705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1397 S Linden Rd
Ste. B
Flint, MI 48532-4194 - Phone
- (810) 230-9750
- Fax
- (810) 230-8799
- NPI assigned
- Jan 24, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502002537 | MI | |
| Massage Therapist | 225700000X | MI | Primary |
Addresses
Primary practice location
1397 S Linden Rd
Ste. B
Flint, MI 48532-4194
Mailing address
1397 S Linden Rd
Ste. B
Flint, MI 48532-4194
Phone (810) 230-9750
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 |
|---|---|---|---|
| 5502002537 | MI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max Well Therapy L.L.C. | Physical Therapy Assistant | Past | Accepting new patients |
| Max Well Therapy LLC | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 2
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": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1750686705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397 S LINDEN RD",
"address_2": "STE. B",
"city": "FLINT",
"state": "MI",
"postal_code": "485324194",
"telephone_number": "810-230-9750",
"fax_number": "810-230-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 S LINDEN RD",
"address_2": "STE. B",
"city": "FLINT",
"state": "MI",
"postal_code": "485324194",
"telephone_number": "810-230-9750",
"fax_number": "810-230-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMSDEN",
"first_name": "CAROL",
"credential": "PTA CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502002537",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.