Michelle Ann-Moraska Carpenter, DPT
Individual provider Active NPI Physical Therapist · Iron Mountain, MI
NPI 1992010995 · NPPES record last updated Mar 4, 2022
Key facts
- NPI
- 1992010995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501015273 (MI)
- Practice address
- N3631 Williams Dr
Iron Mountain, MI 49801-9626 - Phone
- (517) 388-2002
- NPI assigned
- Aug 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015273 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickinson County Healthcare System | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501015273 | MI | Yes |
Addresses
Primary practice location
N3631 Williams Dr
Iron Mountain, MI 49801-9626
Mailing address
N3631 Williams Dr
Iron Mountain, MI 49801-9626
Phone (517) 388-2002
Other names
- Michelle Ann Moraska
Other providers in Iron Mountain, MI
- Jessica M Cameron
- Ray H Cameron
- Mary Campbell
- Waldo B Carlson
- William James Caron
- Cananidy Mae Carter
- Gina Carver
- Laura Casanova
- Stacy Lynn Casanova
- Catholic Social Services
All providers in Iron Mountain, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.