Elizabeth Mead, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501020175 Issued in MI

Practice address

820 Carp River LN Ste 2
Ishpeming, MI 49849

Phone

(906) 204-7400

Fax

(906) 204-7402

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Althouse Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Superior Active Partners LLC

  • Physical Therapy Clinic/Center
  • Ishpeming, MI
  • NPI 1982045001

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superior Active Partners LLC 10 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1881345643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CARP RIVER LN STE 2",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "49849",
            "telephone_number": "906-204-7400",
            "fax_number": "906-204-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CARP RIVER LN STE 2",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "49849",
            "telephone_number": "906-204-7400",
            "fax_number": "906-204-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ALTHOUSE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kirsten R Matthews, MA, OTRL, CLT
• Richard Keith Matthews, OTRL, CHT
• Madysen Mattias
• Sarah Ann Mayer, DC
• Christopher McDowell, PT
• Taylor Meinhold, RN, DOULA
• Kelly Rose Menge, D.O.
• Alison Mercier
• Hilary A Metcalf, MD
• Meyer Family Vision, P.C.

• All providers in Ishpeming, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.