Active NPI
Renee Cottrell
- Physical Therapist
- Roseville, MI
National Provider Identifier
1962425272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501002572
- Practice address
- 18285 E 10 Mile Rd
Ste 100
Roseville, MI 48066-5802 - Phone
- (586) 774-5774
- NPI assigned
- Jul 26, 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 | 5501002572 | MI | Primary |
Addresses
Primary practice location
18285 E 10 Mile Rd
Ste 100
Roseville, MI 48066-5802
Mailing address
815 E 2ND St
Royal Oak, MI 48067-2840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11760358 | Other | MI | CAQH |
| 650H229330 | Other | MI | BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HC Rehab Solutions LLC | Physical Therapist | Past | Accepting new patients |
| Kovacek Peterson Management LLC | 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
- Frankenmuth, MI
- NPI 1598771339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1962425272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 E 2ND ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18285 E 10 MILE RD",
"address_2": "STE 100",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480665802",
"telephone_number": "586-774-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501002572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11760358",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "650H229330",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.