NPIMap

Organization Active NPI

Davison Physical Therapy Specialists, LLC

  • Physical Therapist
  • Davison, MI
National Provider Identifier
1033463518
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015721 Issued in MI
Legal business name
DAVISON PHYSICAL THERAPY SPECIALISTS, LLC
Practice address
320 N Main St Unit G-H
Davison, MI 48423-1423
Phone
(810) 656-8979
NPI assigned
Nov 5, 2012
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Mehgan Krick, PT, DPT
Title
Owner/Physical Therapist
Phone
(810) 656-8979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501015721 MI Primary

Addresses

Primary practice location

320 N Main St Unit G-H
Davison, MI 48423-1423

Mailing address

320 N Main St Unit GH
Davison, MI 48423-1423

National Provider Directory

National Provider Directory

Locations

320 N Main St
Unit G
Davison, MI 48423
Phone (810) 656-8979

320 N Main St
Unit Gh
Davison, MI 48423
Phone (810) 656-8979

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1033463518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST UNIT GH",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST UNIT G-H",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231423",
            "telephone_number": "810-656-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISON PHYSICAL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "KRICK",
        "authorized_official_first_name": "MEHGAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "810-656-8979",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.