Organization Active NPI

Thomson'S Physical Therapy

  • Physical Therapy Clinic/Center
  • Niles, MI
National Provider Identifier
1043470891
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501011329 Issued in MI
Legal business name
THOMSON'S PHYSICAL THERAPY
Practice address
333 N 2ND St
Suite 308
Niles, MI 49120-2258
Phone
(269) 687-9110
Fax
(269) 687-9120
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Nicole Nichelle Koenigshof, MSPT
Title
President
Phone
(269) 687-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501011329 MI Primary

Addresses

Primary practice location

333 N 2ND St
Suite 308
Niles, MI 49120-2258

Mailing address

333 N 2ND St
Suite 308
Niles, MI 49120-2258
Phone (269) 687-9110

National Provider Directory

National Provider Directory

Locations

333 N 2nd St
Ste 308
Niles, MI 49120
Phone (269) 687-9110

321 E Main St
Ste B
Niles, MI 49120
Phone (269) 687-9110

321 E Main St
Niles, MI 49120
Phone (269) 687-9110

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1043470891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N 2ND ST",
            "address_2": "SUITE 308",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202258",
            "telephone_number": "269-687-9110",
            "fax_number": "269-687-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 2ND ST",
            "address_2": "SUITE 308",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202258",
            "telephone_number": "269-687-9110",
            "fax_number": "269-687-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMSON'S PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "KOENIGSHOF",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-687-9110",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501011329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.