Organization Active NPI

Janet Mahoney Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Okemos, MI
National Provider Identifier
1891021226
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501001955 Issued in MI
Legal business name
JANET MAHONEY PHYSICAL THERAPY, LLC
Practice address
4111 Okemos Rd
Suite 102
Okemos, MI 48864-3235
Phone
(517) 896-8551
Fax
(888) 863-1134
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Janet Lynn Mahoney, P.T.
Title
Owner
Phone
(517) 896-8551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501001955 MI Primary

Addresses

Primary practice location

4111 Okemos Rd
Suite 102
Okemos, MI 48864-3235

Mailing address

1334 Marble Rd
East Lansing, MI 48823-2833
Phone (517) 896-8551

National Provider Directory

National Provider Directory

Locations

4111 Okemos Rd
Ste 102
Okemos, MI 48864
Phone (517) 253-7996

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1891021226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 MARBLE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232833",
            "telephone_number": "517-896-8551",
            "fax_number": "888-683-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 OKEMOS RD",
            "address_2": "SUITE 102",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643235",
            "telephone_number": "517-896-8551",
            "fax_number": "888-863-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET MAHONEY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-896-8551",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501001955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.