Michelle Reichenbach, P.T.A.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

5502000882 Issued in MI

Practice address

555 N Bradley Hwy
Rogers City, MI 49779-1539

Phone

(989) 734-2151

NPI assigned

May 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1033565411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18140 ESS LAKE DR",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497467916",
            "telephone_number": "313-715-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791539",
            "telephone_number": "989-734-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHENBACH",
        "first_name": "MICHELLE",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "5502000882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Rogers City, MI
• Providers in Rogers City, MI by specialty
• Physical Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.