Individual provider Active NPI

Ann Retka, PT, DPT

  • Physical Therapist
  • Caro, MI
National Provider Identifier
1861937823
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017422 Issued in MI
Practice address
1655 E Caro Rd
Caro, MI 48723-9319
Phone
(989) 673-2500
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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 5501017422 MI Primary

Addresses

Primary practice location

1655 E Caro Rd
Caro, MI 48723-9319

Mailing address

103 Hadley St
Holly, MI 48442-1605
Phone (248) 977-7959

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

Practice roles

OrganizationSpecialtyStatusNew patients
HQ of Lapeer LLC Physical Therapist CurrentSince Dec 17, 2024 Accepting new patients
KKS of Michigan LLC CurrentSince Dec 17, 2024 Accepting new patients

Locations

411 W Nepessing St
Lapeer, MI 48446
Phone (810) 206-2200

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

Organizations & group practices 2

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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1861937823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HADLEY ST",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421605",
            "telephone_number": "248-977-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239319",
            "telephone_number": "989-673-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETKA",
        "first_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.