Individual provider Active NPI

Karen Crowther Mitton, PTA, CLT

  • Physical Therapy Assistant
  • Livonia, MI
National Provider Identifier
1922734581
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502007973 Issued in MI
Practice address
20555 Victor Pkwy
Livonia, MI 48152-7031
Phone
(734) 343-2476
NPI assigned
Jul 26, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502007973 MI Primary

Addresses

Primary practice location

20555 Victor Pkwy
Livonia, MI 48152-7031

Mailing address

1372 Bicentennial Pkwy
Ann Arbor, MI 48108-7917
Phone (734) 945-6055

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL karen.mitton@trinity-health.org Health Information Exchange (HIE) Trinity Health Livonia Hospital

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

LicenseStateTypeSpecialty
5502007973MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1922734581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 BICENTENNIAL PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481087917",
            "telephone_number": "734-945-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20555 VICTOR PKWY",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527031",
            "telephone_number": "734-343-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTON",
        "first_name": "KAREN",
        "middle_name": "CROWTHER",
        "credential": "PTA, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502007973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "karen.mitton@trinity-health.org",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Trinity Health Livonia Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "36475 Five Mile Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481541971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.