Michigan Health Source Facilities LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MICHIGAN HEALTH SOURCE FACILITIES LLC

Practice address

28075 John R Rd
Madison Heights, MI 48071-2809

Phone

(248) 548-3445

NPI assigned

Aug 23, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tanya Little

Title

Administrator

Phone

(248) 894-8248

Specialties & licenses 1

Addresses

Other names 1

• Madison Heights PT Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1003240268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71162",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483070022",
            "telephone_number": "248-894-8248",
            "fax_number": "888-338-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28075 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712809",
            "telephone_number": "248-548-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HEALTH SOURCE FACILITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-894-8248",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Heights PT Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Michael Metz, D.O.
• MH Health Care Services, PC
• Mary M. Michail, MA, LPC, NCC
• Michigan Anesthesia Team, PLLC
• Michigan Dental Team, PLLC
• Michigan Healthcare Professionals
• Michigan Healthcare Professionals PC
• Michigan Healthcare Professionals PC
• Michigan Healthcare Professionals, P.C.
• Michigan Musculoskeletal Institute LLC

• All providers in Madison Heights, MI
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.