PHYSICAL THERAPY CENTER OF MIDLAND, LLC (NPI# 1083706584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083706584 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY CENTER OF MIDLAND, LLC |
| Other Organization Name | PHYISCAL THERAPY CENTER |
| Practice Address |
304 W Wackerly St Suite D400 Midland MI 48640-7264 |
| Practice Telephone | 9898399309 |
| Practice Fax Number | 9896339170 |
| Mailing Telephone | 9898399309 |
| Mailing Fax Number | 9896339170 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | MRS. LAURA ANNE-HALL MCGUIRE (OWNER) |
| Authorized Official Telephone | 9898399309 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5501003922 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE PTAN | P36760001 | 01 |
| Other Name | Type Code |
|---|---|
| Phyiscal Therapy Center | Doing Business As Name - Organization |
| Street Address |
304 W WACKERLY ST SUITE D400 |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-7264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760496848 | Laura Anne-hall Mcguire | Physical Therapist | 304 W Wackerly St, Suite D400, Midland, MI 48640-7264 | 2006-07-27 |
| 1124500806 | Janet Lee Wakeman | Physical Therapy Assistant | 304 W Wackerly St, Midland, MI 48640-7264 | 2018-08-30 |
| 1962991067 | Jennifer Kay Root | Physical Therapist | 304 W Wackerly St, Midland, MI 48640-7264 | 2018-05-03 |
| 1487156899 | Eileen Mary Mcmahon | Physical Therapist | 304 W Wackerly St, Midland, MI 48640-7264 | 2018-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598241341 | Jordan Coulon Pt Dpt Pllc | Clinic/Center | 2606 Loma Dr, Midland, TX 79705-6614 | 2018-07-16 |
| 1093014243 | John Austin Beery | Clinic/Center | 828 N Homer Rd, Midland, MI 48640-8616 | 2011-03-26 |
| 1629181920 | Midland Physical Therapy Inc. | Clinic/Center | 5319 N Saginaw Rd, Suite A, Midland, MI 48642-7501 | 2006-08-17 |
| 1962459354 | Bauer Rehabilitation Services, LLC | Clinic/Center | 2203 Candlestick Ln, Midland, MI 48642-3165 | 2006-05-30 |
| 1437648664 | Kyle Stevenson | Clinic/Center | 601 E Wackerly St, Midland, MI 48642-7070 | 2018-05-03 |
| 1750883153 | Midmichigan Health | Clinic/Center | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1235365842 | Kevin Crutchfield LLC | Clinic/Center | 2215 N Midland Dr, 4a, Midland, TX 79707-5500 | 2009-06-09 |
| 1255531125 | Manual Therapeutics Inc | Clinic/Center | 1900 Ridgewood Dr, Midland, MI 48642-5865 | 2007-07-19 |
| 1982746830 | T-star, PC | Clinic/Center | 4610 N Garfield St, Ste. B-5, Midland, TX 79705-2663 | 2007-02-13 |
| 1033223383 | Sheila A Isles-truax | Clinic/Center | 5319 N Saginaw Rd, Midland, MI 48642-7501 | 2006-08-17 |
| Find all providers in MIDLAND | ||||
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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.