Monica McCarter

Individual provider Active NPI Physical Therapist · Ironwood, MI

NPI 1912290339 · NPPES record last updated May 18, 2011

Key facts

NPI
1912290339
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501011657 (MI)
Practice address
N10504 Grandview LN
Ironwood, MI 49938-9621
Phone
(906) 932-5990
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10142-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Northern Rehab P C Physical Therapist Past
since Aug 1, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10142-24 WI
Physical Therapist 225100000X 5501011657 MI Yes

Addresses

Primary practice location

N10504 Grandview LN
Ironwood, MI 49938-9621

Mailing address

150 E Ridge St
Ironwood, MI 49938-2022
Phone (906) 364-3941

Other providers in Ironwood, MI

All providers in Ironwood, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.