Active NPI
Thumb Physiatry PC
- Physical Medicine & Rehabilitation Physician
- Port Huron, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- THUMB PHYSIATRY PC
- Practice address
- 2603 Electric Ave
Suite 6
Port Huron, MI 48060-6588 - Phone
- (810) 985-1608
- Fax
- (810) 987-3011
- NPI assigned
- Apr 2, 2008
- Last updated
- Apr 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nick J Reina, MD
- Title
- Owner
- Phone
- (810) 985-1608
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
2603 Electric Ave
Suite 6
Port Huron, MI 48060-6588
Mailing address
2603 Electric Ave
Suite 6
Port Huron, MI 48060-6588
Phone (810) 985-1608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1966810 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
2603 Electric Ave
Ste 6
Port Huron, MI 48060
Phone (810) 985-1608
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Port Huron, MI
- NPI 1538175260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207094400000",
"number": "1033381728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 ELECTRIC AVE",
"address_2": "SUITE 6",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606588",
"telephone_number": "810-985-1608",
"fax_number": "810-987-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 ELECTRIC AVE",
"address_2": "SUITE 6",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606588",
"telephone_number": "810-985-1608",
"fax_number": "810-987-3011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THUMB PHYSIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A",
"authorized_official_last_name": "REINA",
"authorized_official_first_name": "NICK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-985-1608",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1966810",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.