Active NPI
Renee Irene-Francis Foreman, LPTA
- Physical Therapy Assistant
- Harbor Springs, MI
National Provider Identifier
1760850234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502004374
- Practice address
- 930 Fairview Ave
Harbor Springs, MI 49740 - Phone
- (231) 242-0791
- NPI assigned
- Sep 14, 2015
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 5502004374 | MI | Primary |
Addresses
Primary practice location
930 Fairview Ave
Harbor Springs, MI 49740
Mailing address
8850 Horseshoe Dr
Harbor Springs, MI 49740-9688
Phone (231) 330-3839
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 |
|---|---|---|---|
| 5502004374 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1760850234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8850 HORSESHOE DR",
"city": "HARBOR SPRINGS",
"state": "MI",
"postal_code": "497409688",
"telephone_number": "231-330-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 FAIRVIEW AVE",
"city": "HARBOR SPRINGS",
"state": "MI",
"postal_code": "49740",
"telephone_number": "231-242-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "RENEE",
"middle_name": "IRENE-FRANCIS",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502004374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harbor Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.