MICHIGAN STATE UNIVERSITY (NPI# 1992712053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992712053 |
| Entity Type | Organization |
| Organization Name | MICHIGAN STATE UNIVERSITY |
| Practice Address |
4660 S Hagadorn Rd Ste 400 East Lansing MI 48823-5353 |
| Mailing Address |
4660 S Hagadorn Rd Ste 400 East Lansing MI 48823-5353 |
| Practice Telephone | 5173557648 |
| Practice Fax Number | 5174321319 |
| Mailing Telephone | 5173557648 |
| Mailing Fax Number | 5174321319 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-04-05 |
| Authorized Official Name | LISA RUCKER (ENROLLMENT & PATIENT ACCTS MANAGER) |
| Authorized Official Telephone | 5178842976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM FACILITY PIN | 30675 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184182982 | Michigan State University | Local Education Agency (LEA) | 446 W. Circle Drive, Room 409, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824-1039 | 2019-03-11 |
| 1427443274 | Michigan State University | Behavioral Analyst | 325 W Grand River Ave, East Lansing, MI 48823 | 2015-03-30 |
| 1629307251 | Michigan State University | Preventive Medicine | 346 Olin Health Ctr, East Circle Drive, East Lansing, MI 48824-1037 | 2009-12-10 |
| 1295978054 | Michigan State University | Clinical Medical Laboratory | 1355 Bogue St Rm B228, East Lansing, MI 48824-6207 | 2009-04-09 |
| 1487780565 | Michigan State University | Clinical Medical Laboratory | B228 Life Sciences Bldg, East Lansing, MI 48824 | 2007-02-26 |
| 1518046598 | Michigan State University | Clinic/Center | 804 Clinical Center, A114, East Lansing, MI 48824-1313 | 2006-11-02 |
| 1639253784 | Michigan State University | Registered Nurse | 804 Service Rd Ste A142, East Lansing, MI 48824-7015 | 2006-10-25 |
| 1962515221 | Michigan State University | Pharmacy | 463 E Circle Dr. Rm103, East Lansing, MI 48824 | 2006-08-17 |
| 1891747614 | Michigan State University | Radiology | 804 Service Rd # D100, East Lansing, MI 48824-7015 | 2006-05-17 |
| 1861443269 | Michigan State University | Family Medicine | 804 Service Rd # A225, East Lansing, MI 48824-7015 | 2006-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MICHIGAN STATE UNIVERSITY | 426 Auditorium Rd, East Lansing, MI 48824-2600 |
| Virginia Business Entities | Michigan State University Alumni Club of Metropolitan Washington DC | 10511 Judicial Drive, Fairfax, Virginia 22030-5172 |
| System for Award Management (SAM) Entities | MICHIGAN STATE UNIVERSITY FOUNDATION | 2727 Alliance Dr Ste C, Lansing, MI 48910-3868 |
| Street Address |
4660 S HAGADORN RD STE 400 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206419 | Msu Health Care Inc. | Physical Therapy Assistant | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2020-02-10 |
| 1578105151 | Daniel Adam Balogh | Physical Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2019-10-15 |
| 1003009739 | Rachelle Marie Thomas | Physical Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823 | 2007-08-27 |
| 1891910782 | Kathleen Drescher Stephens | Physical Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2007-04-16 |
| 1861554487 | Margaret Anne Amendt | Occupational Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2006-12-14 |
| 1033271598 | Mary Carol Thiel | Physical Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2006-12-14 |
| 1073675567 | Nancy Tucker | Physical Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2006-12-14 |
| 1811085996 | Cathryn Gayle Durnin | Physical Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2006-10-11 |
| 1780771386 | Gretchen G Classens | Physical Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2006-10-06 |
| 1689767469 | Ryan Whittaker | Physical Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| 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 |
|---|---|---|---|---|
| 1700357753 | Stephanie Constan | Physical Therapist | 2688 Teri Ter, East Lansing, MI 48823-3820 | 2018-12-16 |
| 1922509991 | Wendy M Breen | Physical Therapist | 2900 Hannah Blvd Ste B102, East Lansing, MI 48823-5374 | 2018-02-26 |
| 1982050423 | Preeti Gollapalli | Physical Therapist | 3722 Shearwater Ln, East Lansing, MI 48823-8348 | 2016-05-13 |
| 1558736058 | Kimberly Preston | Physical Therapist | 5622 Deville Ct, East Lansing, MI 48823-2968 | 2015-12-09 |
| 1659759009 | Hilary Mancik | Physical Therapist | 6054 Carriage Hill Dr, East Lansing, MI 48823-2219 | 2015-05-18 |
| 1750530895 | Ria Era Monteros Pinunggan | Physical Therapist | 6150 Hardy Ave, 2g12, East Lansing, MI 48823-6212 | 2008-09-12 |
| 1477701720 | Amanda Lynn Labo | Physical Therapist | 2775 East Lansing Dr., East Lansing, MI 48911 | 2008-08-28 |
| 1215192349 | Danette Lee Warner | Physical Therapist | 830 W. Lake Lansing Rd, Suite 190, East Lansing, MI 48823 | 2008-07-29 |
| 1063617496 | Robert Kranich | Physical Therapist | 1720 Abbey Rd Ste A, East Lansing, MI 48823-6363 | 2007-06-16 |
| 1750582987 | Muideen A Kareem | Physical Therapist | 1308 Red Leaf Ln, East Lansing, MI 48823-1340 | 2007-05-28 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.