Organization Active NPI

Reactive Physical Therapy and Wellness

  • Orthopedic Physical Therapist
  • Petoskey, MI
National Provider Identifier
1124888417
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Mar 29, 2024

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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.