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Mary Clare Porretta-Passera, P.T.

Physical Therapist in Imlay City, MI. Individual provider (NPI-1).

NPI number1992045496
StatusActive
Last updated in NPPESFeb 20, 2013

Details

NPI
1992045496
Entity type
Individual (NPI-1)
Name
Mary Clare Porretta-Passera
Credential
P.T.
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 20, 2013
Last updated
Feb 20, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501002201MIYes

Practice location

1821 N Summers Rd
Imlay City, MI 48444-8845

Phone 810-724-1813

Mailing address

1821 N Summers Rd
Imlay City, MI 48444-8845

Phone 810-724-1813

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Imlay City, MI

All 10 Physical Therapist providers in Imlay City · All 136 providers in Imlay City

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