PHYSIOTHERAPY ASSOCIATES INC (NPI# 1093813891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093813891 |
| Entity Type | Organization |
| Organization Name | PHYSIOTHERAPY ASSOCIATES INC |
| Practice Address |
715 W Lake Lansing Rd East Lansing MI 48823-1445 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5173370475 |
| Practice Fax Number | 5173371142 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-11-09 |
| Authorized Official Name | MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 30658 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659746766 | Physiotherapy Associates Inc | Clinic/Center | 3111 Gordon Dr, Sioux City, IA 51105-3730 | 2015-12-01 |
| 1962876060 | Physiotherapy Associates Inc | Clinic/Center | 1409 Veterans Dr., Suite 102, Omaha, NE 68023 | 2015-11-30 |
| 1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
| 1396122529 | Physiotherapy Associates Inc | Clinic/Center | 95 Grand Heron Drive, Panama City Beach, FL 32407-2549 | 2015-04-27 |
| 1649608829 | Physiotherapy Associates Inc | Clinic/Center | 7001 E Williams Field Rd, Mesa, AZ 85212-6032 | 2013-10-24 |
| 1801189121 | Physiotherapy Associates Inc | Clinic/Center | 1739 Allen St, Springfield, MA 01118-1805 | 2011-05-19 |
| 1740439694 | Physiotherapy Associates Inc | Clinic/Center | 223 Elk Avenue, Suite 201, Crested Butte, CO 81224 | 2008-09-16 |
| 1720236300 | Physiotherapy Associates Inc | Clinic/Center | 9325 Dorchester St, Ste 127, Highlands Ranch, CO 80129-2520 | 2008-09-08 |
| 1518113547 | Physiotherapy Associates Inc | Clinic/Center | 4877 Highway 589, Sumrall, MS 39482-0152 | 2008-08-11 |
| 1104085240 | Physiotherapy Associates Inc | Clinic/Center | 511 West Alexander Street, Plant City, FL 33563-7163 | 2008-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Physiotherapy Associates Inc. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Virginia Business Entities | PHYSIOTHERAPY ASSOCIATES INC. | 4714 Gettysburg Rd, Mechanicsburg, Pennsylvania 17055-4325 |
| Street Address |
715 W LAKE LANSING RD |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972138394 | Sarah Elizabeth Rottman | Physical Therapist | 715 W Lake Lansing Rd, East Lansing, MI 48823-1445 | 2020-03-05 |
| 1619494655 | Thomas David Genther | Physical Therapist | 715 W Lake Lansing Rd, East Lansing, MI 48823-1445 | 2017-08-29 |
| 1811424104 | Tyler Smith | Physical Therapy Assistant | 715 W Lake Lansing Rd, East Lansing, MI 48823-1445 | 2017-05-17 |
| 1700183936 | Trevor Scott Williams | Physical Therapy Assistant | 715 W Lake Lansing Rd, East Lansing, MI 48823-1445 | 2011-02-24 |
| 1124221528 | Heather Marie Karr | Physical Therapy Assistant | 715 W Lake Lansing Rd, East Lansing, MI 48823-1445 | 2007-06-06 |
| 1922201326 | Sandra Ann Parker | Physical Therapy Assistant | 715 W Lake Lansing Rd, East Lansing, MI 48823-1445 | 2007-06-06 |
| 1134227952 | Deepak Savanur | Physical Therapist | 715 W Lake Lansing Rd, East Lansing, MI 48823-1445 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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|---|---|---|---|---|
| 1033550389 | Hope Network | Clinic/Center | 2775 East Lansing, East Lansing, MI 48823 | 2013-07-16 |
| 1447619036 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 2530 Marfitt Rd, East Lansing, MI 48823-6343 | 2016-02-11 |
| 1417203530 | Burcham Hills LLC | Clinic/Center | 2700 Burcham Dr, East Lansing, MI 48823-3898 | 2012-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257287 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5858 S 47 Rd, Cadillac, MI 49601-9508 | 2020-05-26 |
| 1538790241 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 2325 Rockwell Dr, Midland, MI 48642-9325 | 2020-01-31 |
| 1386295210 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 641 W 9 Mile Rd Ste D, Ferndale, MI 48220-1779 | 2019-09-23 |
| 1013566199 | J.l Hunt Therapeutics | Clinic/Center | 43700 Woodward Ave Ste 108, Bloomfield Hills, MI 48302-5060 | 2019-09-10 |
| 1548828502 | Chsc Inc | Clinic/Center | 10125 W 8 Mile Rd, Detroit, MI 48221-1004 | 2019-06-04 |
| 1427521723 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3951 W Milham Ave, Portage, MI 49024-1088 | 2019-01-09 |
| 1366934184 | Rehabcare Group East, LLC | Clinic/Center | 1300 N Telegraph Rd, Dearborn, MI 48128-1204 | 2018-06-06 |
| 1902305048 | Nrmi, LLC | Clinic/Center | 14461 E 11 Mile Rd, Warren, MI 48088-4886 | 2018-02-05 |
| 1194230888 | Blue Water Speech Therapy | Clinic/Center | 7950 Caberfae Trl, Clarkston, MI 48348-3707 | 2017-12-05 |
| 1093236291 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1620 S Mission St Ste O, Mt Pleasant, MI 48858-4466 | 2017-06-28 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on PHYSIOTHERAPY ASSOCIATES INC.
| 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.