Northbound Physical Therapy and Wellness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTHBOUND PHYSICAL THERAPY AND WELLNESS PLLC

Practice address

10296 Betsie Creek Dr
Interlochen, MI 49643-9199

Phone

(231) 392-1888

NPI assigned

Dec 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Aubrey Jabour, PT, DPT

Title

Owner

Phone

(231) 392-1888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607212800000",
    "number": "1154927184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10296 BETSIE CREEK DR",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439199",
            "telephone_number": "231-392-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10296 BETSIE CREEK DR",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439199",
            "telephone_number": "231-392-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBOUND PHYSICAL THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A",
        "authorized_official_last_name": "JABOUR",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-392-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra E. Lewis, D.D.S.
• A. Barry Lishawa, D.D.S.
• Sandra Lockard, RN
• Shaun Paul Mancour
• Melissa Michael
• Northwest Synergy Inc (Community Drug of Interlochen)
• Beth Oster, CPM
• Amanda Lynn Pinto
• Mary Pat S Randall, R.N.
• Jessica Rosa

• Physical Therapist in Interlochen, MI
• Providers in Interlochen, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.