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
- Last updated
- Mar 29, 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
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, 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": "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.