ST JUDE WELLNESS PLLC (NPI# 1821597469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821597469 |
| Entity Type | Organization |
| Organization Name | ST JUDE WELLNESS PLLC |
| Practice Address |
2245 S Isabella Rd Mt Pleasant MI 48858-2051 |
| Practice Telephone | 9793173754 |
| Mailing Telephone | 9793173754 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Authorized Official Name | JULIE LIM CASIPIT (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9793173754 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
2245 S ISABELLA RD |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48858-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104336098 | Julie Lim Casipit | Physical Therapist | 2245 S Isabella Rd, Mt Pleasant, MI 48858-2051 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790220614 | Presson Physical Therapy | Clinic/Center | 201 W Alabama St # 1151, Mt Pleasant, TX 75455-4413 | 2017-01-01 |
| 1578572608 | Mission Physical Therapy, Inc | Clinic/Center | 555 S Mission St, Suite A, Mt Pleasant, MI 48858-2846 | 2006-08-07 |
| 1659919165 | Rome Physical Therapy LLC | Clinic/Center | 1131 Queensborough Blvd Ste 101, Mt Pleasant, SC 29464-5430 | 2019-12-16 |
| 1528462371 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1909 N Highway 17, Suite Q, Mt Pleasant, SC 29464-7459 | 2014-10-22 |
| 1306288261 | Triple Crown of Mt Pleasant LLC | Clinic/Center | 999 Lake Hunter Cir, Suite B, Mt Pleasant, SC 29464-5427 | 2013-07-20 |
| 1063761625 | Penn Neuromuscular Diagnostics, LLC | Clinic/Center | 1 Braddock Road Ave, Suite C, Mt Pleasant, PA 15666-1458 | 2012-08-29 |
| 1487940334 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 937 Bowman Rd, Mt Pleasant, SC 29464-3336 | 2011-06-20 |
| 1285886457 | Angela Cornatzer Blackwood | Clinic/Center | 3301 Stockdale St, Mt Pleasant, SC 29466-7125 | 2008-10-18 |
| 1457512279 | Trinity Manual & Sports Physical Therapy | Clinic/Center | 608 E Chippewa St, Mt Pleasant, MI 48858-1742 | 2008-06-24 |
| 1407974405 | Shelley Birnie Physical Therapy, LLC | Clinic/Center | 498 Wando Park Blvd, Ste 200, Mt Pleasant, SC 29464-7902 | 2007-03-27 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 48858 |
Please comment or provide details below to improve the information on ST JUDE WELLNESS PLLC.
| 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.