Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Pediatric Therapy PLLC

Organization Pediatric Physical Therapist · NPI 1053178079

Northern Pediatric Therapy PLLC is a Pediatric Physical Therapist in Lake Ann, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

19080 Ridge View Ln
Lake Ann, MI 49650-9411
Phone: (616) 706-2916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1053178079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Downer — Speech Language Pathology · (231) 577-9421
NPI enumeratedMarch 5, 2024
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing addressPo Box 5817, Traverse City, MI 49696-5817