NPIMap

Organization Active NPI

Local Physical Therapy Center, PLLC

  • Physical Therapy Clinic/Center
  • Clarkston, MI
National Provider Identifier
1043617467
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501007830 Issued in MI
Legal business name
LOCAL PHYSICAL THERAPY CENTER, PLLC
Practice address
7650 Dixie Hwy
130
Clarkston, MI 48346-2078
Phone
(248) 770-2428
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Ewa Magdalena Pluszczyk, P.T.
Title
Owner
Phone
(248) 770-2428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501007830 MI Primary

Addresses

Primary practice location

7650 Dixie Hwy
130
Clarkston, MI 48346-2078

Mailing address

7650 Dixie Hwy
130
Clarkston, MI 48346-2078
Phone (248) 770-2428

National Provider Directory

National Provider Directory

Locations

7650 Dixie Hwy
Ste 130
Clarkston, MI 48346
Phone (248) 770-2428

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1043617467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 DIXIE HWY",
            "address_2": "130",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462078",
            "telephone_number": "248-770-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 DIXIE HWY",
            "address_2": "130",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462078",
            "telephone_number": "248-770-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCAL PHYSICAL THERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "PLUSZCZYK",
        "authorized_official_first_name": "EWA",
        "authorized_official_middle_name": "MAGDALENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-770-2428",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501007830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.