Active NPI
Mary M Dove, P.T.
- Physical Therapist
- East Lansing, MI
National Provider Identifier
1891802245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501002695
- Practice address
- Olin Health Center
East Circle Drive
East Lansing, MI 48824-1315 - Phone
- (517) 884-6546
- Fax
- (517) 432-9460
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501002695 | MI | Primary |
Addresses
Primary practice location
Olin Health Center
East Circle Drive
East Lansing, MI 48824-1315
Mailing address
Olin Health Center
East Circle Drive
East Lansing, MI 48824-1315
Phone (517) 355-4510
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1891802245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OLIN HEALTH CENTER",
"address_2": "EAST CIRCLE DRIVE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488241315",
"telephone_number": "517-355-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OLIN HEALTH CENTER",
"address_2": "EAST CIRCLE DRIVE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488241315",
"telephone_number": "517-884-6546",
"fax_number": "517-432-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVE",
"first_name": "MARY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501002695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.