Individual provider Active NPI

Andrew Higley, PTA

  • Physical Therapy Assistant
  • Ludington, MI
National Provider Identifier
1982033791
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502002748 Issued in MI
Practice address
1000 E Tinkham Ave
Ludington, MI 49431-1568
Phone
(231) 845-6291
Fax
(231) 843-4121
NPI assigned
Nov 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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 5502002748 MI Primary

Addresses

Primary practice location

1000 E Tinkham Ave
Ludington, MI 49431-1568

Mailing address

702 Anderson St
Ludington, MI 49431-1882
Phone (231) 845-7205

Other identifiers 1

IdentifierTypeStateIssuer
5502002748OtherMISTATE OF MICHIGAN LICENSE, PTA

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
5502002748MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1982033791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 ANDERSON ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311882",
            "telephone_number": "231-845-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E TINKHAM AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311568",
            "telephone_number": "231-845-6291",
            "fax_number": "231-843-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGLEY",
        "first_name": "ANDREW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502002748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN LICENSE, PTA",
            "identifier": "5502002748",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.