MUNGER PHYSICAL THERAPY, PLC (NPI# 1548428626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548428626 |
| Entity Type | Organization |
| Organization Name | MUNGER PHYSICAL THERAPY, PLC |
| Other Organization Name | MUNGER PHYSICAL THERAPY |
| Practice Address |
4351 24th Ave Suite 1 Fort Gratiot MI 48059-4506 |
| Practice Telephone | 8103857405 |
| Practice Fax Number | 8103857420 |
| Mailing Telephone | 8103857405 |
| Mailing Fax Number | 8103857420 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | MR. MARKUS MICHAEL MUNGER (OWNER/ ADMINISTRATOR) |
| Authorized Official Telephone | 8103857405 |
| 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 |
5501004051 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS AND BLUS SHIELD OF MICHIGAN | 65-0-G4-1223-0 | 01 |
| Other Name | Type Code |
|---|---|
| Munger Physical Therapy | Doing Business As Name - Organization |
| Street Address |
4351 24TH AVE SUITE 1 |
| City | FORT GRATIOT |
| State | MI |
| Zip Code | 48059-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225219561 | Markus M Munger | Physical Therapist | 4351 24th Ave, Suite 1, Fort Gratiot, MI 48059-4506 | 2007-11-15 |
| 1346692373 | Nicholas Jex | Physical Therapist | 4351 24th Ave, Suite 1, Fort Gratiot, MI 48059-4506 | 2016-07-01 |
| 1639559487 | Daniel Thomas Gaffney | Physical Therapist | 4351 24th Ave, Fort Gratiot, MI 48059-4506 | 2015-06-08 |
| 1154568301 | Julie A Stevenson | Clinic/Center | 4351 24th Ave, Suite 1, Fort Gratiot, MI 48059-4506 | 2009-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096374 | Rebecca Campau | Registered Nurse | 4985 Lakeshore Rd, Fort Gratiot, MI 48059 | 2017-07-25 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
| 1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
| 1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
| 1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
| 1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
| 1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
| 1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
| 1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
| Find all providers in zip 48059 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447945 | Shilpa Mehta | Clinic/Center | 4190 24th Ave Ste 205, Fort Gratiot, MI 48059-3884 | 2018-08-15 |
| 1316314149 | Hq Assisted Living LLC | Clinic/Center | 2840 Keewahdin Rd, Apt 203, Fort Gratiot, MI 48059-3576 | 2015-08-27 |
| 1154568301 | Julie A Stevenson | Clinic/Center | 4351 24th Ave, Suite 1, Fort Gratiot, MI 48059-4506 | 2009-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
| 1700484482 | Redford Physical Therapy LLC | Clinic/Center | 25136 W 6 Mile Rd, Redford, MI 48240-2102 | 2020-10-14 |
| 1740894500 | Sara Sue Laisure | Clinic/Center | 1105 E 8th St, Traverse City, MI 49686-2936 | 2020-08-31 |
| 1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
| 1326650011 | Physical Therapy Center for Sports and Performing Arts, Pllc | Clinic/Center | 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 | 2020-08-23 |
| 1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1114537719 | Axpert Rehab Care, LLC | Clinic/Center | 22830 Kelly Rd, Eastpointe, MI 48021-2072 | 2020-08-07 |
| 1619586898 | Right Health, PC | Clinic/Center | 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | 2020-07-23 |
| 1497378368 | Launch Pediatric Rehab | Clinic/Center | 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT GRATIOT |
| Zip Code | 48059 |
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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.