Evergreen Physical Therapy Limited Partnership
Organization Active NPI Physical Therapist · Reed City, MI
NPI 1154840155 · NPPES record last updated Sep 12, 2017
Key facts
- NPI
- 1154840155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- EVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP
- Practice address
- 204 W Upton Ave
Reed City, MI 49677-1189 - Phone
- (231) 465-4289
- Fax
- (231) 465-4292
- NPI assigned
- Sep 12, 2017
- Organization subpart
- No
Authorized official
- Name
- Richard Binstein
- Title
- VP/Authorized Official
- Phone
- (713) 297-7000
Other NPIs on the same Medicare enrollment 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070516000180 | MI | Part B Supplier - Clinic/Group Practice | 7618074220 |
Receives reassigned benefits from 12 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Big Rapids, MI; Clare, MI; Gladwin, MI; Harrison, MI; Midland, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
204 W Upton Ave
Reed City, MI 49677-1189
Mailing address
107 Schoolcrest Ave
Clare, MI 48617-1145
Other providers in Reed City, MI
- Mickenzie Davis
- Lori Ann Dennett
- Melissa Joanne Emmorey
- Erica Lee Touhill Watson OD PC
- William David Evans
- Steven Fabregas Jr.
- Mary Frances Fairfield
- Family Optometric Centers PLC
- Pamela J Fleming
- Carrie Lynne Forshee
All providers in Reed City, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.