Active NPI
Amy Lynn Powell, MSPT
- Physical Therapist
- Traverse City, MI
National Provider Identifier
1902834799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501009652
- Practice address
- 2564 Crossings Circle
Northwoods Physical Therapy
Traverse City, MI 49684 - Phone
- (231) 922-3655
- NPI assigned
- Jun 29, 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 | 5501009652 | MI | Primary |
Addresses
Primary practice location
2564 Crossings Circle
Northwoods Physical Therapy
Traverse City, MI 49684
Mailing address
20454 Nofsgen Rd
Lake Ann, MI 49650
Phone (231) 275-3186
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501009652 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodeau Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Northwood Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Williamsburg, MI
- NPI 1609987981
-
- Physical Therapy Clinic/Center
- Lapeer, MI
- NPI 1508943853
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902834799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20454 NOFSGEN RD",
"city": "LAKE ANN",
"state": "MI",
"postal_code": "49650",
"telephone_number": "231-275-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2564 CROSSINGS CIRCLE",
"address_2": "NORTHWOODS PHYSICAL THERAPY",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-922-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501009652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.