Individual provider Active NPI

Mary Warren, DPT

  • Physical Therapist
  • Flint, MI
National Provider Identifier
1770085227
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017075 Issued in MI
Practice address
2222 S Linden Rd Ste B
Flint, MI 48532-5413
Phone
(810) 733-8222
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 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 5501017075 MI Primary

Addresses

Primary practice location

2222 S Linden Rd Ste B
Flint, MI 48532-5413

Mailing address

3495 S Center Rd
Burton, MI 48519-1455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310002830 MI Practitioner - Physical Therapist in Private Practice 0941695845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

10785 S Saginaw St
Suite D
Grand Blanc, MI 48439-7003
Phone (810) 695-6337

425 N Fenway Dr
Suite a
Fenton, MI 48430-3810
Phone (810) 750-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Medical Group Genesys Current Accepting new patients
Henry Ford Medical Group Genesys Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Genesys Integrated Group Practice PC PastSince Mar 6, 2022 Accepting new patients

Locations

2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627

2222 S Linden Rd
Ste B
Flint, MI 48532
Phone (810) 733-8222

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337

Organizations & group practices 4

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1770085227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325413",
            "telephone_number": "810-733-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017075",
            "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 Mar 1, 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.