Organization Active NPI

Amy Ray PT LLC

  • Physical Therapy Clinic/Center
  • Harbor Springs, MI
National Provider Identifier
1952096844
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AMY RAY PT LLC
Practice address
600 Birchwood Dr
Harbor Springs, MI 49740-9206
Phone
(317) 450-1589
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Amy L Ray, PTNPI 1124111422
Title
Owner
Phone
(317) 450-1589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

600 Birchwood Dr
Harbor Springs, MI 49740-9206

Mailing address

1272 Fern Ave
Harbor Springs, MI 49740-9673
Phone (317) 450-1589

Other practice location 1

1272 Fern Ave
Harbor Springs, MI 49740-9673
Phone (317) 450-1589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230717001168 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830559384 Receives reassigned benefits from 1 practitioner
Practice locations: Harbor Springs, MI

National Provider Directory

National Provider Directory

Locations

600 Birchwood Dr
Harbor Springs, MI 49740
Phone (231) 526-2166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1952096844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 FERN AVE",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409673",
            "telephone_number": "317-450-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BIRCHWOOD DR",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409206",
            "telephone_number": "317-450-1589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 Fern Ave",
            "address_purpose": "LOCATION",
            "city": "Harbor Springs",
            "state": "MI",
            "postal_code": "497409673",
            "country_code": "US",
            "telephone_number": "317-450-1589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMY RAY PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-450-1589",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.