Individual provider Active NPI

John Daniel Lehman

  • Physical Therapist
  • Dewitt, MI
National Provider Identifier
1891343612
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019270 Issued in MI
Practice address
1161 E Clark Rd Ste 156
Dewitt, MI 48820-8312
Phone
(517) 668-0000
Fax
(517) 668-0017
NPI assigned
Aug 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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 5501019270 MI Primary

Addresses

Primary practice location

1161 E Clark Rd Ste 156
Dewitt, MI 48820-8312

Mailing address

1161 E Clark Rd Ste 156
Dewitt, MI 48820-8312
Phone (517) 668-0000

Other practice location 1

13575 S Airport Rd Ste 105
Lansing, MI 48906-9101
Phone (517) 668-0000 ext. 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191026000096 MI Practitioner - Physical Therapist in Private Practice 3678805504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians

Practice addresses (Care Compare)

1005 S US Hwy 27
Suite 100
Saint Johns, MI 48879-2423
Phone (989) 224-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019270MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center PC CurrentSince Feb 27, 2023 Accepting new patients
Clinton County Medical Center PC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
The Physical Therapy Connection, Inc. CurrentSince Oct 11, 2019 Accepting new patients
Physical Therapy Connection LLC Physical Therapist PastSince Oct 11, 2019 Accepting new patients

Locations

10673 E Carson City Rd
Carson City, MI 48811
Phone (989) 584-3153

1161 E Clark Rd
Ste 156
Dewitt, MI 48820
Phone 5176680000 ext. 2

13575 S Airport Rd
Ste 105
Lansing, MI 48906
Phone (517) 668-0000

1005 S US Highway 27
Ste 100
Saint Johns, MI 48879
Phone 9892243000616

Organizations & group practices 4

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1891343612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 E CLARK RD STE 156",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208312",
            "telephone_number": "517-668-0000",
            "fax_number": "517-668-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 E CLARK RD STE 156",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208312",
            "telephone_number": "517-668-0000",
            "fax_number": "517-668-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13575 S Airport Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489069101",
            "country_code": "US",
            "telephone_number": "517-668-0000 x1",
            "fax_number": "517-668-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.