Brett Baird, PT

Individual provider Active NPI Physical Therapist · Kingsford, MI

NPI 1013790278 · NPPES record last updated Aug 14, 2023

Key facts

NPI
1013790278
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501302398 (MI)
Practice address
505 N Hooper St
Kingsford, MI 49802-5406
Phone
(906) 776-9003
Fax
(906) 776-9063
NPI assigned
Aug 14, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5501302398MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Up Rehab Services LLC Physical Therapist Past
since Aug 27, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501302398 MI Yes
Physical Therapist 225100000X 16523 WI

Addresses

Primary practice location

505 N Hooper St
Kingsford, MI 49802-5406

Mailing address

841 W Washington St Ste 500
Marquette, MI 49855-4178
Phone (906) 225-5044

Other providers in Kingsford, MI

All providers in Kingsford, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.