PHYSIOTHERAPY ASSOCIATES INC (NPI# 1124130547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124130547 |
| Entity Type | Organization |
| Organization Name | PHYSIOTHERAPY ASSOCIATES INC |
| Practice Address |
3240 W Silver Lake Rd Fenton MI 48430-1374 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 8107144616 |
| Practice Fax Number | 8107144809 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-08-31 |
| 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 | 30647 | 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 |
3240 W SILVER LAKE RD |
| City | FENTON |
| State | MI |
| Zip Code | 48430-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194794883 | Shari Ellen Oole | Specialist/Technologist | 3240 W Silver Lake Rd, Fenton, MI 48430-1374 | 2006-03-15 |
| 1134603657 | Joseph Edward Booker II | Physical Therapist | 3240 W Silver Lake Rd, Fenton, MI 48430-1374 | 2018-09-20 |
| 1073989372 | Jodi Charles | Physical Therapy Assistant | 3240 W Silver Lake Rd, Fenton, MI 48430-1374 | 2015-08-20 |
| 1871618017 | Jami Temple-anderson Reed | Physical Therapist | 3240 W Silver Lake Rd, Fenton, MI 48430-1374 | 2007-03-20 |
| 1467543645 | Carl Albert Sigmund | Physical Therapy Assistant | 3240 W Silver Lake Rd, Fenton, MI 48430-1374 | 2006-09-27 |
| 1962506352 | Kelly Ann Apostolovski | Physical Therapist | 3240 W Silver Lake Rd, Fenton, MI 48430-1374 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 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 | ||||
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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.