Active NPI
Reactive Physical Therapy and Wellness
- Orthopedic Physical Therapist
- Petoskey, MI
National Provider Identifier
1124888417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- REACTIVE PHYSICAL THERAPY AND WELLNESS
- Practice address
- 446 E Mitchell St Ste 3
Petoskey, MI 49770-4604 - Phone
- (231) 622-2524
- NPI assigned
- Mar 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Lee Beigle
- Title
- Director
- Phone
- (231) 347-2189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
446 E Mitchell St Ste 3
Petoskey, MI 49770-4604
Mailing address
3693 Pickerel Lake Rd
Petoskey, MI 49770-9326
Phone (231) 347-2189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240724001002 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8022554203 |
Receives reassigned benefits from 1 practitioner Practice locations: Petoskey, MI |
National Provider Directory
National Provider DirectoryLocations
446 E Mitchell St
Ste 3
Petoskey, MI 49770
Phone (231) 622-2524
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Petoskey, MI
- NPI 1063463271
MI, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711670400000",
"number": "1124888417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3693 PICKEREL LAKE RD",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709326",
"telephone_number": "231-347-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 E MITCHELL ST STE 3",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497704604",
"telephone_number": "231-622-2524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REACTIVE PHYSICAL THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A",
"authorized_official_last_name": "BEIGLE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "231-347-2189"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.