Individual provider Active NPI

Micah Sacla

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1801226386
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007555 Issued in MI
Practice address
731 Starkweather Dr
Lansing, MI 48917-1128
Phone
(517) 323-9133
Fax
(517) 323-0950
NPI assigned
Nov 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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 5501007555 MI Primary

Addresses

Primary practice location

731 Starkweather Dr
Lansing, MI 48917-1128

Mailing address

731 Starkweather Drive
Lansing, MI 48917
Phone (517) 323-9133

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

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1801226386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 STARKWEATHER DRIVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-323-9133",
            "fax_number": "517-323-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 STARKWEATHER DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171128",
            "telephone_number": "517-323-9133",
            "fax_number": "517-323-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACLA",
        "first_name": "MICAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.