Active NPI
Rochelle Marie Vespie, PTA
- Physical Therapy Assistant
- Macomb, MI
National Provider Identifier
1780857482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502001911
- Practice address
- 17900 23 Mile Rd
Suite 401
Macomb, MI 48044-1161 - Phone
- (586) 868-9040
- Fax
- (586) 868-9013
- NPI assigned
- Apr 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502001911 | MI | Primary |
Addresses
Primary practice location
17900 23 Mile Rd
Suite 401
Macomb, MI 48044-1161
Mailing address
17900 23 Mile Rd
Suite 401
Macomb, MI 48044-1161
Phone (586) 868-9040
Other names 1
- Miss Rochelle Marie Barrette
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502001911 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1780857482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17900 23 MILE RD",
"address_2": "SUITE 401",
"city": "MACOMB",
"state": "MI",
"postal_code": "480441161",
"telephone_number": "586-868-9040",
"fax_number": "586-868-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 23 MILE RD",
"address_2": "SUITE 401",
"city": "MACOMB",
"state": "MI",
"postal_code": "480441161",
"telephone_number": "586-868-9040",
"fax_number": "586-868-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESPIE",
"first_name": "ROCHELLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502001911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROCHELLE",
"last_name": "BARRETTE",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.