MICHIGAN STATE UNIVERSITY
NPI 1992712053
Physical Therapist in East Lansing, MI
About Michigan State University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIGAN STATE UNIVERSITY (NPI 1992712053) is a healthcare organization registered as a physical therapist in East Lansing, Michigan and active in the NPI registry since August 2006. The organization lists Lisa Rucker, Enrollment & Patient Accts Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michigan State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Michigan State University, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 15 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michigan State University's NPI number?
The NPI number for Michigan State University is 1992712053. It was assigned to this organization in the NPPES registry on August 2, 2006.
Where is Michigan State University located?
Michigan State University is located at 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823. The listed phone number is (517) 355-7648.
What is Michigan State University's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Michigan State University enrolled in Medicare?
Yes. Michigan State University is registered in the Medicare PECOS enrollment system.
When is Michigan State University's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Michigan State University?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Michigan State University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (13) and Physical Therapist in Private Practice (7). Of these, 6 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Michigan State University was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michigan State University · NPI 1992712053
Physical Therapist organization in East Lansing, Michigan. Organization record, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1992712053 (Entity type: Organization)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Lisa Rucker, ENROLLMENT & PATIENT ACCTS MANAGER
## Practice location
- **Address:** 4660 S HAGADORN RD STE 400, East Lansing, MI 48823-5353
- **Phone:** (517) 355-7648 · **Fax:** (517) 432-1319
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Physical Therapist in Private Practice (7); 6 practice at this address and 15 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2018
- **Other identifiers:** Other 30675 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1992712053) · Data from the CMS NPPES public registry.