Michelle Ann-Moraska Carpenter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015273 Issued in MI

Practice address

N3631 Williams Dr
Iron Mountain, MI 49801-9626

Phone

(517) 388-2002

NPI assigned

Aug 13, 2010

Last updated

Mar 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Ann Moraska Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dickinson County Healthcare System

  dba Marshfield Medical Center - Dickinson Niagara Rehab Center

  • Rehabilitation Clinic/Center
  • Niagara, WI
  • NPI 1043892003

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1992010995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3631 WILLIAMS DR",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019626",
            "telephone_number": "517-388-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3631 WILLIAMS DR",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019626",
            "telephone_number": "517-388-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MICHELLE",
        "middle_name": "ANN-MORASKA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MORASKA",
            "middle_name": "ANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ray H Cameron, MD, PHD
• Mary Campbell
• Dana Carlson
• Waldo B Carlson, MD
• William James Caron, PT
• Cananidy Mae Carter, HIS
• Gina Carver, LPN
• Laura Casanova, RPH
• Stacy Lynn Casanova
• Catholic Social Services

• Physical Therapist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.