Evergreen Physical Therapy Limited Partnership

Primary specialty

Physical TherapistTaxonomy code 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

Last updated

Sep 12, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Binstein

Title

VP/Authorized Official

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Midland, MI
  • NPI 1033122718

  O20070516000180

  Same enrollment
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Bay City, MI
  • NPI 1154647659

  O20070516000180

  Same enrollment
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Clare, MI
  • NPI 1295740637

  O20070516000180

  Same enrollment
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Gladwin, MI
  • NPI 1558374280

  O20070516000180

  Same enrollment
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Big Rapids, MI
  • NPI 1730126285

  O20070516000180

  Same enrollment
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Harrison, MI
  • NPI 1962515809

  O20070516000180

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1154840155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SCHOOLCREST AVE",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W UPTON AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496771189",
            "telephone_number": "231-465-4289",
            "fax_number": "231-465-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mickenzie Davis, BSW
• Lori Ann Dennett, P.T.
• Melissa Joanne Emmorey
• Erica Lee Touhill Watson OD PC (Precision iCare)
• William David Evans, PHARM.D. RPH
• Steven Fabregas Jr.
• Mary Frances Fairfield, PA
• Family Optometric Centers PLC
• Pamela J Fleming, PA-C
• Carrie Lynne Forshee, LPC

• Physical Therapist in Reed City, MI
• Providers in Reed City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.