CARLY BERNADOTTE (NPI# 1760963334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760963334 |
| Entity Type | Individual |
| Full Name | CARLY BERNADOTTE |
| Credential | PT |
| Practice Address |
22180 Pontiac Trl Ste E South Lyon MI 48178-9097 |
| Mailing Address |
17633 Edgewood St Livonia MI 48152-2907 |
| Practice Telephone | 2484460155 |
| Mailing Telephone | 7345363411 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501018832 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
22180 PONTIAC TRL STE E |
| City | SOUTH LYON |
| State | MI |
| Zip Code | 48178-9097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811034879 | Ann Ardary Bishop | Physical Therapist | 22180 Pontiac Trl Ste E, South Lyon, MI 48178 | 2007-01-31 |
| 1750988002 | Yvonne Amorette Henrikson | Massage Therapist | 22180 Pontiac Trl Ste E, South Lyon, MI 48178-9097 | 2020-10-08 |
| 1649814922 | Faith Reanne Frontera | Massage Therapist | 22180 Pontiac Trl Ste E, South Lyon, MI 48178-9097 | 2019-10-30 |
| 1265917744 | Danielle Nelson | Massage Therapist | 22180 Pontiac Trl Ste E, South Lyon, MI 48178-9097 | 2018-10-01 |
| 1831671551 | Sarah Hope Dacko | Physical Therapy Assistant | 22180 Pontiac Trl Ste E, South Lyon, MI 48178-9097 | 2018-08-29 |
| 1043621832 | Amy Ramage | Physical Therapist | 22180 Pontiac Trl Ste E, South Lyon, MI 48178-9097 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1649811845 | Center for Emdr and Trauma Therapy | Counselor | 28900 Pontiac Trail, South Lyon, MI 48178 | 2019-09-30 |
| 1295223386 | Cathrine Michelle Arneson | Massage Therapist | 321 Pettibone St. #101a, South Lyon, MI 48178 | 2018-04-25 |
| 1033592936 | 4-serv Family Medicine P.C. | Family Medicine | 51619 Ten Mile Rd, South Lyon, MI 48178 | 2015-07-09 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1255722088 | Jennifer Nidetz | Social Worker | 23015 Cheyenne Dr, South Lyon, MI 48178 | 2015-02-16 |
| 1174938658 | Michael Samir Matar | Family Medicine | 210 N Lafayette Street, South Lyon, MI 48178 | 2014-06-24 |
| 1043633191 | Kwonsoo Kenneth Kim | Anesthesiology | 8854 Stoney Creek Dr., South Lyon, MI 48178 | 2014-01-27 |
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| Find all providers in zip 48178 | ||||
| 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 |
|---|---|---|---|---|
| 1407306012 | Plymouth Physical Therapy Specialists Limited Partnership | Physical Therapist | 582 N Lafayette St, South Lyon, MI 48178-2000 | 2016-10-06 |
| 1538567227 | Sharon Goins | Physical Therapist | 9660 Daleview Dr, South Lyon, MI 48178-8106 | 2014-12-11 |
| 1205114022 | Michele Marie Bird | Physical Therapist | 22062 Brookfield Ct, South Lyon, MI 48178-2538 | 2011-07-27 |
| 1811209968 | Spine and Extremity Institute of South Lyon, L.L.C. | Physical Therapist | 22180 Pontiac Trail, Suite E, South Lyon, MI 48178-9097 | 2010-07-06 |
| 1144362039 | Jill R Greenfield | Physical Therapist | 23221 Valerie St, South Lyon, MI 48178-1631 | 2007-02-13 |
| 1811034879 | Ann Ardary Bishop | Physical Therapist | 22180 Pontiac Trl Ste E, South Lyon, MI 48178 | 2007-01-31 |
| 1336202217 | Michigan Rehabilitation Specialists of South Lyon LLC | Physical Therapist | 25700 Pontiac Trl, South Lyon, MI 48178-8047 | 2006-12-19 |
| 1134287816 | Ellen Thomi Lecureux | Physical Therapist | 22180 Pontiac Trl, Suite E, South Lyon, MI 48178-9097 | 2006-12-05 |
| 1497747323 | Christian William Roth | Physical Therapist | 301 S Lafayette St, South Lyon, MI 48178-1407 | 2005-08-17 |
| 1770118408 | Marina Hartmann | Physical Therapist | 582 N Lafayette St, South Lyon, MI 48178-2000 | 2020-03-03 |
| Find all providers in SOUTH LYON | ||||
| City | SOUTH LYON |
| Zip Code | 48178 |
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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.