Southside Rehab Associates

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501001463 Issued in MI

Legal business name

SOUTHSIDE REHAB ASSOCIATES

Practice address

616 Meijer Dr
Charlotte, MI 48813-8376

Phone

(517) 333-8550

Fax

(517) 333-8539

NPI assigned

Nov 13, 2006

Organization subpart

Yes

Parent organization

SOUTHSIDE REHAB ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Mr. Louis P Finos, P.T.

Title

Administrator

Phone

(517) 333-8550

Specialties & licenses 1

Addresses

Other names 1

• Southside Physical Therapy Doing business as

Part of

Southside Physical Ther

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Capitol Area Physical Therapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • East Lansing, MI
  • NPI 1659327021

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Fradette, M.P.T.

  • Physical Therapist
  • Charlotte, MI
  • NPI 1902159478
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1104997972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488200558",
            "telephone_number": "517-333-8550",
            "fax_number": "517-333-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MEIJER DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488138376",
            "telephone_number": "517-333-8550",
            "fax_number": "517-333-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE REHAB ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHSIDE REHAB ASSOCIATES",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "FINOS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "517-333-8550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501001463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gayle L Smith
• Timothy James Smith
• Meghan Marie Snider, LMT
• James Sobeck
• Debra Sue Somervill, LMSW, ACSW
• Ann Fay Sovey, LPC
• Sparrow Community Care
• Sparrow Eaton Hospital
• Sparrow Eaton Hospital
• Sparrow Eaton Hospital

• Physical Therapy Clinic/Center in Charlotte, MI
• Providers in Charlotte, 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 Dec 2, 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.