Bluesky Rehabilitation Therapies
Organization Active NPI Physical Therapist · Davison, MI
NPI 1013616929 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1013616929
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BLUESKY REHABILITATION THERAPIES
- Practice address
- 3058 N State Rd Ste E
Davison, MI 48423-3508 - Phone
- (810) 652-6315
- Fax
- (810) 652-6213
- NPI assigned
- Feb 28, 2023
- Organization subpart
- No
Authorized official
- Name
- Darin Edmund Nowak, MPT
- Title
- Owner/Therapist
- Phone
- (248) 515-9903
Practitioners 5
-
Tina Renae Dean, M.A., CCC-SLP
-
Jaime L Nowak, M.P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240205001156 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5597108878 |
Receives reassigned benefits from 4 practitioners Practice locations: Davison, MI |
National Provider Directory
Locations
3058 N State Rd
Davison, MI 48423
3058 N State Rd
Ste E
Davison, MI 48423
Phone (248) 760-8953
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
3058 N State Rd Ste E
Davison, MI 48423-3508
Mailing address
1151 Clearview Dr
Oxford, MI 48371-5977
Phone (248) 515-9903
Other providers in Davison, MI
- Trevor Graham Bet
- Biblical Health LLC
- Lisa Bice
- Hannah Marie Blake
- Blue Sky Therapy Services, LLC
- Boanerges
- Christian Charles Bohlke
- Rachel Booth
- Thomas L Bossi
- Michelle Bourassa
All providers in Davison, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.