NPIMap

Organization Active NPI

Southside Rehab Associates

Doing business as Southside Physical Therapy

  • Physical Therapy Clinic/Center
  • Charlotte, MI
National Provider Identifier
1104997972
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501001463 Issued in MI
Legal business name
SOUTHSIDE REHAB ASSOCIATES
Doing business as
Southside Physical Therapy
Practice address
616 Meijer Dr
Charlotte, MI 48813-8376
Phone
(517) 333-8550
Fax
(517) 333-8539
NPI assigned
Nov 13, 2006
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHSIDE REHAB ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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.NPI 1114195443
Title
Administrator
Phone
(517) 333-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501001463 MI Primary

Addresses

Primary practice location

616 Meijer Dr
Charlotte, MI 48813-8376

Mailing address

PO Box 558
Dewitt, MI 48820-0558
Phone (517) 333-8550

Other names 1

  • Southside Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Southside Rehab Associates

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

  • 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.