Organization Active NPI

Centrum Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Burton, MI
National Provider Identifier
1154865046
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501006027 Issued in MI
Legal business name
CENTRUM PHYSICAL THERAPY PC
Practice address
1501 S Center Rd
Building a
Burton, MI 48509-1731
Phone
(810) 715-7746
Fax
(810) 715-7716
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Ms. Chelsea Leeann Rolfe
Title
Biller
Phone
(810) 715-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501006027 MI Primary

Addresses

Primary practice location

1501 S Center Rd
Building a
Burton, MI 48509-1731

Mailing address

1501 S Center Rd
Building a
Burton, MI 48509-1731
Phone (810) 715-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170130000283 MI Part B Supplier - Clinic/Group Practice 8022390970 Receives reassigned benefits from 2 practitioners
Practice locations: Burton, MI

National Provider Directory

National Provider Directory

Locations

4001 Walli Strasse Dr
Ste F
Burton, MI 48509
Phone (810) 715-7746

Practitioners & affiliated clinicians

Practitioners 2

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": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1154865046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "address_2": "BUILDING A",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-715-7746",
            "fax_number": "810-715-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "address_2": "BUILDING A",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-715-7746",
            "fax_number": "810-715-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRUM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "ROLFE",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "810-715-7746",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501006027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.