MR. LANCE FULSHER (NPI# 1740673680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740673680 |
| Entity Type | Individual |
| Full Name | MR. LANCE FULSHER |
| Credential | DPT |
| Practice Address |
3435 Livernois Rd Troy MI 48083-5063 |
| Mailing Address |
29255 Northwestern Hwy Suite 300 Southfield MI 48034-1018 |
| Practice Telephone | 2487431234 |
| Practice Fax Number | 2487431237 |
| Mailing Telephone | 2483531234 |
| Mailing Fax Number | 2483531211 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501017119 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3435 LIVERNOIS RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813994 | Jason Thomas | Physical Therapist | 3435 Livernois Rd, Troy, MI 48083-5063 | 2015-02-16 |
| 1356813372 | Kaitlyn Elisabeth Kennedy | Physical Therapist | 3435 Livernois Rd, Troy, MI 48083-5063 | 2019-01-02 |
| 1366913691 | Jylian Pearl Randall | Physical Therapist | 3435 Livernois Rd, Troy, MI 48083-5063 | 2018-12-16 |
| 1679060511 | Christina Marie Loose | Massage Therapist | 3435 Livernois Rd, Troy, MI 48083-5063 | 2018-04-17 |
| 1629581509 | Claire Elizabeth Craddock | Massage Therapist | 3435 Livernois Rd, Troy, MI 48083-5063 | 2017-11-14 |
| 1366988859 | Breanne Walkowiak | Physical Therapist | 3435 Livernois Rd, Troy, MI 48083-5063 | 2017-01-09 |
| 1568828028 | Nadia Iolanda Dedonatis | Physical Therapist | 3435 Livernois Rd, Troy, MI 48083-5063 | 2016-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443635 | Carleigh Rosenberg | Physical Therapist | 16 N Greenbush Rd Ste 203, Troy, NY 12180-8581 | 2020-10-09 |
| 1801407408 | Maharshi Mehta | Physical Therapist | 6843 Redford Cir, Troy, MI 48085-1200 | 2020-08-17 |
| 1417575135 | Aimee Carron Baker | Physical Therapist | 1120 E Long Lake Rd Ste 201, Troy, MI 48085-4716 | 2020-07-09 |
| 1760006944 | Mckenzie Will | Physical Therapist | 114 Mountainview Ave Apt 2r, Troy, NY 12180-7408 | 2020-06-03 |
| 1174154611 | Athletico Ltd | Physical Therapist | 3149 Crooks Rd, Troy, MI 48084-1633 | 2020-02-03 |
| 1518504844 | Nancy Harvey Marquez | Physical Therapist | 3250 W Big Beaver Rd Ste 300-a, Troy, MI 48084-2900 | 2019-12-05 |
| 1568007060 | Kathleen Flaim | Physical Therapist | 2256 Burdett Ave Ste 1, Troy, NY 12180-2400 | 2019-11-08 |
| 1477110393 | Whole Body, LLC | Physical Therapist | 535 Edwardsville Rd Ste 220, Troy, IL 62294-1399 | 2019-05-27 |
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1811469745 | Bailey Powell | Physical Therapist | 44201 Dequindre Rd Ste 201-a, Troy, MI 48085-1117 | 2018-12-17 |
| Find all providers in TROY | ||||
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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.