Individual provider Active NPI

Ann Ardary Bishop, P.T.

  • Physical Therapist
  • South Lyon, MI
National Provider Identifier
1811034879
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501003514 Issued in MI
Practice address
22180 Pontiac TRL Ste E
South Lyon, MI 48178
Phone
(248) 446-0155
Fax
(248) 446-0177
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 5501003514 MI Primary

Addresses

Primary practice location

22180 Pontiac TRL Ste E
South Lyon, MI 48178

Mailing address

22180 Pontiac TRL Ste E
South Lyon, MI 48178-9097
Phone (248) 446-0155

Other identifiers 2

IdentifierTypeStateIssuer
0H73728OtherMIBCBS PIN
1811034879MedicaidMI

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.38 of 100Reported as group
Quality
80.41
Improvement activities
40
Cost
60.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Extremity Institute of South Lyon, L.L.C. Physical Therapist CurrentSince Jun 12, 2017 Accepting new patients
Kinetic Rehabilitation Inc. Past Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist PastSince Jun 12, 2017 Accepting new patients
In Home Rehab,LLC Physical Therapist PastSince Jan 1, 2003 Accepting new patients
Kovacek Peterson Management LLC Physical Therapist Past Accepting new patients
Northville Physical Rehabilitation, P.C. Physical Therapist PastSince Feb 1, 2011 Accepting new patients
HC Rehab Solutions LLC Physical Therapist Past Accepting new patients

Locations

22180 Pontiac Trl
South Lyon, MI 48178
Phone (248) 446-0155

22180 Pontiac Trl
Ste E
South Lyon, MI 48178
Phone (248) 446-0155

Organizations & group practices 7

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811034879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22180 PONTIAC TRL STE E",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789097",
            "telephone_number": "248-446-0155",
            "fax_number": "248-446-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22180 PONTIAC TRL STE E",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "48178",
            "telephone_number": "248-446-0155",
            "fax_number": "248-446-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ANN",
        "middle_name": "ARDARY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0H73728",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811034879",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.