Northern Pediatric Therapy Pllc is a
Speech-language Pathologist based in Lake Ann, Michigan. Northern Pediatric Therapy Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
19080 Ridge View Ln, Lake Ann, Michigan. It can be reached at their office (for appointments etc.) via phone at
(616) 706-2916.
NPI number for Northern Pediatric Therapy Pllc is 1053178079 and their current mailing address is Po Box 5817, Traverse City, Michigan. Northern Pediatric Therapy Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053178079.
Healthcare Provider's Profile
Full Name | Northern Pediatric Therapy Pllc |
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Type | Facility |
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Speciality | Speech-language Pathologist |
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Location | 19080 Ridge View Ln, Lake Ann, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053178079
- Provider Enumeration Date: 03/05/2024
- Last Update Date: 03/15/2024
Medical Identifiers
Medical identifiers for Northern Pediatric Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053178079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Northern Pediatric Therapy Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Northern Pediatric Therapy Pllc Po Box 5817, Traverse City, MI 49696-5817 Ph: () - | Northern Pediatric Therapy Pllc 19080 Ridge View Ln, Lake Ann, MI 49650-9411 Ph: (616) 706-2916 |
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