Active NPI
Physiotherapy Associates Inc
- Physical Therapy Clinic/Center
- Warren, MI
National Provider Identifier
1144329541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PHYSIOTHERAPY ASSOCIATES INC
- Practice address
- 5454 E 12 Mile Rd
Warren, MI 48092-4636 - Phone
- (586) 558-3600
- Fax
- (568) 558-3604
- NPI assigned
- Sep 22, 2006
- 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
- Jayne Fleck-Pool
- Title
- Chief Compliance Officer
- Phone
- (469) 467-8705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
5454 E 12 Mile Rd
Warren, MI 48092-4636
Mailing address
2300 Coit Rd
Ste 300
Plano, TX 75075-3768
Phone (469) 467-8705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031007000059 | MI | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3577470442 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Canton, MI; Walled Lake, MI |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Garden City, MI
- NPI 1629163738
O20031007000059
-
- Physical Therapy Clinic/Center
- Saline, MI
- NPI 1639262397
O20031007000059
-
- Physical Therapy Clinic/Center
- Litchfield, MI
- NPI 1033441761
O20031007000059
-
- Rehabilitation Clinic/Center
- Canton, MI
- NPI 1427141092
O20031007000059
-
- Rehabilitation Clinic/Center
- Walled Lake, MI
- NPI 1891890596
O20031007000059
National Provider Directory
National Provider DirectoryLocations
5454 E 12 Mile Rd
Warren, MI 48092
Phone (586) 558-3600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Warren, MI
- NPI 1194827774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277337600000",
"number": "1144329541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 COIT RD",
"address_2": "STE 300",
"city": "PLANO",
"state": "TX",
"postal_code": "750753768",
"telephone_number": "469-467-8705",
"fax_number": "267-321-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480924636",
"telephone_number": "586-558-3600",
"fax_number": "568-558-3604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2010-06-24",
"status": "A",
"authorized_official_last_name": "FLECK-POOL",
"authorized_official_first_name": "JAYNE",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "469-467-8705"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.