Organization Active NPI

HJL Holdings, L.L.C.

  • Physical Therapist
  • Portage, MI
National Provider Identifier
1104998319
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004512 Issued in MI
Legal business name
HJL HOLDINGS, L.L.C.
Practice address
3930 W Centre Ave
Portage, MI 49024-4634
Phone
(269) 324-4333
Fax
(269) 324-4343
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Mr. Harry John Lekosiotis, P.T.NPI 1407842297
Title
Administrator
Phone
(269) 324-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501004512 MI Primary

Addresses

Primary practice location

3930 W Centre Ave
Portage, MI 49024-4634

Mailing address

3930 W Centre Ave
Portage, MI 49024-4634
Phone (269) 324-4333

Other names 1

  • Portage Orthopedic & Sports Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000725 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527014562 Receives reassigned benefits from 1 practitioner
Practice locations: Portage, MI

National Provider Directory

National Provider Directory

Locations

3930 W Centre Ave
Portage, MI 49024
Phone (269) 324-4300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1104998319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244634",
            "telephone_number": "269-324-4333",
            "fax_number": "269-324-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244634",
            "telephone_number": "269-324-4333",
            "fax_number": "269-324-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HJL HOLDINGS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "LEKOSIOTIS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-324-4333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portage Orthopedic & Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.