Thumb Physical Medicine & Rehab

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

4301091071 Issued in MI

Legal business name

THUMB PHYSICAL MEDICINE & REHAB

Practice address

1117 S Van Dyke Rd
Suite 100
Bad Axe, MI 48413-8467

Phone

(989) 269-7252

Fax

(989) 269-7304

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joel De Guzman, M.D.

Title

Director

Phone

(989) 269-7252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1104129303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S VAN DYKE RD",
            "address_2": "SUITE 100",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484138467",
            "telephone_number": "989-269-7252",
            "fax_number": "989-269-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S VAN DYKE RD",
            "address_2": "SUITE 100",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484138467",
            "telephone_number": "989-269-7252",
            "fax_number": "989-269-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUMB PHYSICAL MEDICINE & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-269-7252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301091071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Thompson
• Angela Thomson
• Thumb Audiology LLC
• Thumb Industries, Inc.
• Thumb Medical Imaging, P. C.
• Timothy M. Straight DDS, PC
• Pinky Trada, R.P.T.
• James Robert Troy, CRNA
• Turner Eye Care PLLC (Huron Eye Care)
• Rhonda Ulfig

• Medical Specialty Clinic/Center in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.