Luke Finkbeiner

Individual provider Active NPI Physical Therapy Assistant · Standish, MI

NPI 1760857064 · NPPES record last updated Dec 11, 2015

Key facts

NPI
1760857064
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5502003194 (MI)
Practice address
4489 M 61
Standish, MI 48658-9273
Phone
(989) 718-3171
NPI assigned
Dec 11, 2015
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5502003194MIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Rehabilitation Services, PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502003194 MI Yes

Addresses

Primary practice location

4489 M 61
Standish, MI 48658-9273

Mailing address

4489 M 61
Standish, MI 48658-9273
Phone (989) 718-3171

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2015.

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1760857064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4489 M 61",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589273",
            "telephone_number": "989-718-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 M 61",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589273",
            "telephone_number": "989-718-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKBEINER",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Standish, MI

All providers in Standish, MI · Physical Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.