Organization Active NPI

Corporate Concierge Health & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Brown City, MI
National Provider Identifier
1033632906
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CORPORATE CONCIERGE HEALTH & WELLNESS, LLC
Practice address
4217 Main St
Brown City, MI 48416-7715
Phone
(810) 656-8979
NPI assigned
Jul 21, 2017
Last updated
Aug 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Authorized official

Name
Mehgan L Krick, PT, DPT, OCSNPI 1245519602
Title
Owner/Physical Therapist
Phone
(810) 656-8979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4217 Main St
Brown City, MI 48416-7715

Mailing address

3655 Earl West Rd
Brown City, MI 48416-9684
Phone (810) 656-8979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170925002746 MI Part B Supplier - Clinic/Group Practice 4284908526 Receives reassigned benefits from 1 practitioner
Practice locations: Brown City, MI

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1033632906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 EARL WEST RD",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484169684",
            "telephone_number": "810-656-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 MAIN ST",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484167715",
            "telephone_number": "810-656-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE CONCIERGE HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "KRICK",
        "authorized_official_first_name": "MEHGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "810-656-8979",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.