THUNDER BAY THERAPY & SPORTS MEDICINE, PLC (NPI# 1386699031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386699031 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY THERAPY & SPORTS MEDICINE, PLC |
| Practice Address |
348 Long Rapids Plz Alpena MI 49707-1374 |
| Practice Telephone | 9893588086 |
| Practice Fax Number | 9893542253 |
| Mailing Telephone | 9893588086 |
| Mailing Fax Number | 9893542253 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | MRS. TERESA LYNN DUNCAN (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 9893588086 |
| Authorized Official Credential | PHYSCIAL THERAPI |
| 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 &BS | 30720 | 01 |
| Street Address |
348 LONG RAPIDS PLZ |
| City | ALPENA |
| State | MI |
| Zip Code | 49707-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558863241 | Erin Kuznicki | Occupational Therapist | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2018-03-08 |
| 1437699121 | Carolynn Elizabeth Graham | Occupational Therapist | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2017-03-01 |
| 1902356819 | Andrew Doubek | Physical Therapist | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2016-10-04 |
| 1790169159 | Kayla Nowak | Physical Therapist | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2015-07-16 |
| 1003203605 | Thunder Bay Therapy & Sports Medicine | Clinic/Center | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2015-04-21 |
| 1770840571 | Jennifer Lynn Timm | Occupational Therapist | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2012-04-18 |
| 1194082990 | Emily Joyce Szymanski | Physical Therapist | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2012-04-18 |
| 1982961777 | Theresa Jay Dziubinski | Physical Therapist | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2012-04-18 |
| 1356608145 | Teresa Lynn Duncan | Physical Therapist | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2012-04-18 |
| 1144587965 | Wynne Tezak | Physical Therapist | 348 Long Rapids Plz, Alpena, MI 49707-1374 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969261 | Alisha Allen | Counselor | Charis Counseling Services of Northeast Michigan, Pllc, 311 N. 2nd Ave, Alpena, MI 49707 | 2019-08-30 |
| 1376015032 | Rachel Marie Vercnocke | Physical Therapist | Midmichigan Home Care, 1521 W. Chisholm Street, Alpena, MI 49707 | 2018-12-19 |
| 1245731405 | Alcona Citizens for Health, Inc. | Clinic/Center | 3036 French Rd, Alpena, MI 49707 | 2018-02-23 |
| 1750775417 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1251 M32w W. Washington Ave., Alpena, MI 49707 | 2015-03-20 |
| 1962895136 | Florencio Cusip Agustin IIi | Physical Therapist | 437 W. Washington Ave, Alpena, MI 49707 | 2015-03-12 |
| 1659762110 | James L Counsellor | Counselor | 115 N First Ave Ste 101, Alpena, MI 49707 | 2015-02-05 |
| 1093002099 | Geraldine Zachos Williams | Chiropractor | 525 S. State Ave, Alpena, MI 49707 | 2011-06-29 |
| 1023310224 | Steven A Machulis | Specialist/Technologist, Other | 225 Long Lake Ave, Alpena, MI 49707 | 2010-11-22 |
| 1578727335 | Allan Paul Frank | Internal Medicine | 2079 South State, Alpena, MI 49707 | 2008-07-10 |
| 1215116025 | Rong Lawson | Family Medicine | Alpena Medical Arts, PC, 211 Long Rapids Road, Alpena, MI 49707 | 2007-10-29 |
| Find all providers in zip 49707 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| 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 | ||||
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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.