MARY LOOMIS (NPI# 1366640146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366640146 |
| Entity Type | Individual |
| Full Name | MARY LOOMIS |
| Credential | PT |
| Practice Address |
1525 Ridgewood Dr Midland MI 48642-6425 |
| Practice Telephone | 9898356333 |
| Practice Fax Number | 9898354920 |
| Mailing Telephone | 9898356333 |
| Mailing Fax Number | 9898354920 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5501012047 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1962849430 | Mary Loomis | Social Worker | 508 E State St, Granby, MA 01033-9743 | 2013-05-23 |
| Street Address |
1525 RIDGEWOOD DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48642-6425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669418562 | Children's Therapy Corner Inc | Clinic/Center | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2006-06-21 |
| 1497355960 | Michelle Marie Kriegshauser | Speech-Language Pathologist | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2020-10-26 |
| 1083221964 | Malorie Mmi Harmon | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2020-09-25 |
| 1467066100 | Kayla Gabrielle Thatcher | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2020-09-01 |
| 1306454186 | Katelyn Marie Valley | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2020-07-17 |
| 1386252138 | Dalton William Jacobs | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2020-07-17 |
| 1235756511 | Samantha Marie Rice | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2020-07-02 |
| 1629695903 | Sarah Marie Kroll | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2020-07-02 |
| 1437784774 | Samantha Julia Sheridan | Speech-Language Pathologist | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2020-03-06 |
| 1861027351 | Alizabeth Mary Stein | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1033762166 | Landon Reed | Occupational Therapist | 5600 Waldo Ave, Midland, MI 48642 | 2019-07-17 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1194295758 | Shirley Curtiss | Behavior Technician | 3301 Ridgecrest Drive, Midland, MI 48642 | 2018-11-27 |
| 1396264768 | Emily Lipa | Behavior Technician | 3301 Ridgecrest Dr., Midland, MI 48642 | 2017-09-16 |
| 1366982381 | Alison Bressette | Behavior Technician | 337 Lemke St, Midland, MI 48642 | 2017-02-24 |
| 1376926162 | Aba Connections of Central Michigan, LLC | Behavioral Analyst | 3301 Ridecrest Dr, Midland, MI 48642 | 2015-06-30 |
| 1952724130 | Rachelle Mott | Registered Nurse | 218 Fast Ice Dr., Midland, MI 48642 | 2014-01-24 |
| 1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
| 1225283534 | Audio-aid Rx | Hearing Aid Equipment | 6855 N. Eastman Ave., Midland, MI 48642 | 2008-12-01 |
| Find all providers in zip 48642 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144719170 | Amanda Alvord | Physical Therapist | 337 Lemke St, Midland, MI 48642-5926 | 2018-05-04 |
| 1053691170 | Christine Nicole Hawkins | Physical Therapist | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2011-08-20 |
| 1831396365 | Adam Schlichte | Physical Therapist | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668759 | Michele Lynn Avery | Physical Therapist | 15959 Hall Rd Ste 203, Macomb, MI 48044-5366 | 2020-01-23 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1396247193 | Amy Lynn Casedy | Physical Therapist | 400 E Eisenhower Pkwy Ste A, Ann Arbor, MI 48108-3302 | 2018-03-07 |
| 1588166987 | Christopher Tapley | Physical Therapist | 1540 E Hospital Dr Spc 4236, Ann Arbor, MI 48109-4236 | 2018-03-02 |
| 1639679343 | Jessica Pizzo | Physical Therapist | 15959 Hall Rd Ste 410, Macomb, MI 48044-5365 | 2018-02-19 |
| 1316310402 | Kelsey Michals | Physical Therapist | 42864 Ashbury Dr, Novi, MI 48375-4725 | 2015-11-11 |
| 1093103020 | Maria Margaret Dobbertien | Physical Therapist | 777 Goguac St W Ste B2, Battle Creek, MI 49015-2097 | 2014-12-29 |
| 1316386105 | Sarah Margaret Cardy Goncalves | Physical Therapist | 2672 S. Rochester Rd., Rochester Hills, MI 48307 | 2013-06-14 |
| 1144567520 | Kirsten Etka Hallstrom | Physical Therapist | 1459 Coventry Square Dr, Ann Arbor, MI 48103-6314 | 2013-01-06 |
| 1609112671 | Stacy Lynn Zousmer | Physical Therapist | 4266 Strathdale Ln, West Bloomfield, MI 48323-3143 | 2012-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.