Blue Springs Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLUE SPRINGS PHYSICAL THERAPY LLC

Practice address

1202 Catalpa Dr
Suite B
Royal Oak, MI 48067-1127

Phone

(248) 543-2070

Fax

(248) 543-2056

NPI assigned

Jan 17, 2014

Organization subpart

No

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

Authorized official

Name

Benjamin Hollaway

Title

Owner

Phone

(248) 543-2070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1053733550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 CATALPA DR",
            "address_2": "SUITE B",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671127",
            "telephone_number": "248-543-2070",
            "fax_number": "248-543-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 CATALPA DR",
            "address_2": "SUITE B",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671127",
            "telephone_number": "248-543-2070",
            "fax_number": "248-543-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRINGS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "HOLLAWAY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-543-2070"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Benjamin Blatt, M.D.
• Ann Marie Blenc, M.D.
• Rachel Blind, NP
• Bloom Pediatric Rehabilitation
• Richard John Bloomingdale, MD
• Danielle Bluford
• Adina M Blum, O.D.
• Madeleine Blum
• Jack Anthony Blumberg, MD/MBA
• Joel Blumenfeld, LLMSW

• Physical Therapy Clinic/Center in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.