Physical Therapy Center of Midland, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501003922 Issued in MI

Legal business name

PHYSICAL THERAPY CENTER OF MIDLAND, LLC

Doing business as

Phyiscal Therapy Center

Practice address

6105 Jefferson Ave
Midland, MI 48640-2935

Phone

(989) 839-9309

Fax

(989) 633-9170

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Miss Laura Anne-Hall McGuire, P.T.NPI 1760496848

Title

Owner

Phone

(989) 839-9309

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phyiscal Therapy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Laura Anne-Hall McGuire, P.T.

  • Physical Therapist
  • Midland, MI
  • NPI 1760496848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1083706584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402935",
            "telephone_number": "989-839-8309",
            "fax_number": "989-633-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402935",
            "telephone_number": "989-839-9309",
            "fax_number": "989-633-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CENTER OF MIDLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANNE-HALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-839-9309",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501003922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P36760001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phyiscal Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phyiscal Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Thalappillil Philip, DO
• Amanda Jo Phillips, OTR/L
• Brittany Lauren Phillips, MSPA, PA-C
• Jinge Phillips, NP
• Amy C Phoenix, CD-L
• Physician Management Services of Michigan, LLC
• Serena Piasini
• Jolene Pickelman, M.A., LPC
• Kathryn Pickens
• Kerry Pierce, MD

• Physical Therapy Clinic/Center in Midland, MI
• Providers in Midland, 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 8, 2022; 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.