GREAT LAKES PHYSICAL THERAPY (NPI# 1346473527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346473527 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES PHYSICAL THERAPY |
| Practice Address |
23300 Greenfield Rd Suite 105 Oak Park MI 48237-5237 |
| Practice Telephone | 2489684470 |
| Mailing Telephone | 2489684470 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | RICHI R MITTAL (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2489684470 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5501013760 | MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063785384 | Great Lakes Physical Therapy | Clinic/Center | 214 N Division St, Traverse City, MI 49684-2231 | 2012-02-16 |
| 1033407507 | Great Lakes Physical Therapy | Speech-Language Pathologist | 3301 Bergquist Ave, Spirit Lake, IA 51360-7679 | 2011-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GREAT LAKES PHYSICAL THERAPY, P. C. | 3301 Bergquist Avenue, Spirit Lake, IA 51360 |
| Street Address |
23300 GREENFIELD RD SUITE 105 |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154403012 | Allied Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 23300 Greenfield Rd, Suite 117, Oak Park, MI 48237-5237 | 2006-10-19 |
| 1104353978 | Carla Bowes | Massage Therapist | 23300 Greenfield Rd, Suite 102, Oak Park, MI 48237-5237 | 2017-05-11 |
| 1669912978 | Palms Physical Therapy | Clinic/Center | 23300 Greenfield Rd, 113, Oak Park, MI 48237-5237 | 2017-03-06 |
| 1811351026 | Reliable Visiting Services, LLC | Nurse Practitioner | 23300 Greenfield Rd, Suite 222, Oak Park, MI 48237-5237 | 2016-04-13 |
| 1477939536 | Flex Rehab Services, Inc | Clinic/Center | 23300 Greenfield Rd, Suite 116, Oak Park, MI 48237-5237 | 2015-07-30 |
| 1093107948 | Deniene King | Nurse Practitioner | 23300 Greenfield Rd, #203, Oak Park, MI 48237-5237 | 2015-03-02 |
| 1649660580 | Comprehensive Chiropractic Wellness | Chiropractor | 23300 Greenfield Rd, Suite 207, Oak Park, MI 48237-5237 | 2015-01-30 |
| 1225448509 | Victory Physical Therapy | Clinic/Center | 23300 Greenfield Rd, Suite 105, Oak Park, MI 48237-5237 | 2014-05-07 |
| 1093139701 | Moe Transportation LLC | Non-emergency Medical Transport (VAN) | 23300 Greenfield Rd, Suite 125, Oak Park, MI 48237-5237 | 2014-02-17 |
| 1285973560 | United Physical Therapy LLC | Clinic/Center | 23300 Greenfield Rd, Ste 105, Oak Park, MI 48237-5237 | 2013-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356855258 | Aquatic Solutions Physical Therapy LLC | Clinic/Center | 25591 Coolidge Hwy, Oak Park, MI 48237-1306 | 2017-11-30 |
| 1952549198 | Restore Physical Therapy Ltd | Clinic/Center | 6326 Roosevelt Rd, Oak Park, IL 60304-2313 | 2009-01-26 |
| 1881848554 | Akeomai Physical Therapy, PC | Clinic/Center | 734 Lindero Canyon Road, Oak Park, CA 91377 | 2008-11-07 |
| 1851462188 | Physiotherapy Associates Inc | Clinic/Center | 610 S Maple Ave Ste 5900, Oak Park, IL 60304-2814 | 2006-11-10 |
| 1588602031 | Arc Therapy Services LLC | Clinic/Center | 1111 Ontario St, Oak Park, IL 60302-1939 | 2006-06-04 |
| 1760007793 | Krystyna Goldberg Pt Mspt Inc | Clinic/Center | 939 Wenonah Ave, Oak Park, IL 60304-1810 | 2020-06-16 |
| 1639717184 | Christina Quan | Clinic/Center | 719 N Marion St, Oak Park, IL 60302-1530 | 2019-12-16 |
| 1942764188 | Flexx Physical Therapy & Rehabilitation, PC | Clinic/Center | 711 Madison St, Oak Park, IL 60302-4410 | 2019-01-22 |
| 1336611094 | Oak Park Max Care Physical Therapy LLC | Clinic/Center | 12702 W 9 Mile Rd, Oak Park, MI 48237-2959 | 2018-12-19 |
| 1669912978 | Palms Physical Therapy | Clinic/Center | 23300 Greenfield Rd, 113, Oak Park, MI 48237-5237 | 2017-03-06 |
| Find all providers in OAK PARK | ||||
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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.