Individual provider Active NPI

Laura Anne-Hall McGuire, P.T.

  • Physical Therapist
  • Midland, MI
National Provider Identifier
1760496848
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501003922 Issued in MI
Practice address
6105 Jefferson Ave
Midland, MI 48640-2935
Phone
(989) 839-9309
Fax
(989) 633-9170
NPI assigned
Jul 27, 2006
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 5501003922 MI Primary

Addresses

Primary practice location

6105 Jefferson Ave
Midland, MI 48640-2935

Mailing address

6105 Jefferson Ave
Midland, MI 48640-2935
Phone (989) 839-9309

Other identifiers 1

IdentifierTypeStateIssuer
P36760001OtherMIMEDICARE PTAN

Other names 1

  • Miss Laura Anne Hall Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000426 MI Practitioner - Physical Therapist in Private Practice 5597762682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6105 Jefferson Ave
Midland, MI 48640-2935
Phone (989) 839-9309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center of Midland, LLC Physical Therapist CurrentSince Jan 1, 1966 Accepting new patients

Locations

304 W Wackerly St
Ste D400
Midland, MI 48640
Phone (989) 839-9309

6105 Jefferson Ave
Midland, MI 48640
Phone (989) 839-9309

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1760496848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402935",
            "telephone_number": "989-839-9309",
            "fax_number": "989-633-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402935",
            "telephone_number": "989-839-9309",
            "fax_number": "989-633-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "LAURA",
        "middle_name": "ANNE-HALL",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P36760001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HALL",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.