Individual provider Active NPI

Tania Lynn Garrant, MPT

  • Physical Therapist
  • Walled Lake, MI
National Provider Identifier
1790704609
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011739 Issued in MI
Practice address
55 N Pond Dr
Suite 4
Walled Lake, MI 48390-3080
Phone
(248) 668-9355
Fax
(248) 668-9351
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5501011739 MI Primary

Addresses

Primary practice location

55 N Pond Dr
Suite 4
Walled Lake, MI 48390-3080

Mailing address

42867 Potomac
Novi, MI 48375-1769
Phone (248) 668-9355

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

LicenseStateTypeSpecialty
5501011739MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790704609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42867 POTOMAC",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751769",
            "telephone_number": "248-668-9355",
            "fax_number": "248-668-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N POND DR",
            "address_2": "SUITE 4",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903080",
            "telephone_number": "248-668-9355",
            "fax_number": "248-668-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRANT",
        "first_name": "TANIA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.