Individual provider Active NPI

Monica McCarter

  • Physical Therapist
  • Ironwood, MI
National Provider Identifier
1912290339
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011657 Issued in MI
Practice address
N10504 Grandview LN
Ironwood, MI 49938-9621
Phone
(906) 932-5990
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

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

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

LicenseStateTypeSpecialty
10142-24WIMDPhysical Therapist

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1912290339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E RIDGE ST",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499382022",
            "telephone_number": "906-364-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10504 GRANDVIEW LN",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389621",
            "telephone_number": "906-932-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTER",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10142-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.