Active NPI
Yvonne Bernice Garrison, PT
- Physical Therapist
- East Lansing, MI
National Provider Identifier
1891947628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004889
- Practice address
- 2775 E Lansing Dr
East Lansing, MI 48823-7755 - Phone
- (517) 332-1616
- Fax
- (517) 336-4797
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 5501004889 | MI | Primary |
Addresses
Primary practice location
2775 E Lansing Dr
East Lansing, MI 48823-7755
Mailing address
2775 E Lansing Dr
East Lansing, MI 48823-7755
Phone (517) 332-1616
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501004889 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1891947628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 E LANSING DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488237755",
"telephone_number": "517-332-1616",
"fax_number": "517-336-4797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 E LANSING DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488237755",
"telephone_number": "517-332-1616",
"fax_number": "517-336-4797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "YVONNE",
"middle_name": "BERNICE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004889",
"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 Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.