Organization Active NPI

Select Care Physical Therapy Inc

  • Physical Therapist
  • Howard City, MI
National Provider Identifier
1164536108
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SELECT CARE PHYSICAL THERAPY INC
Practice address
7762 N Federal Road
Howardcity, MI 49329
Phone
(231) 937-8485
Fax
(231) 937-9836
NPI assigned
Aug 18, 2006
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Mr. Promodh Joseph, PTNPI 1598783854
Title
Owner
Phone
(231) 937-8485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Cardiopulmonary Physical Therapist 2251C2600X NU
Geriatric Physical Therapist 2251G0304X NU
Neurology Physical Therapist 2251N0400X NU
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

7762 N Federal Road
Howardcity, MI 49329

Mailing address

7762 N Federal Road
P.O.Box256
Howardcity, MI 49329
Phone (231) 937-8485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050628000467 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082659248 Receives reassigned benefits from 2 practitioners
Practice locations: Howard City, MI

National Provider Directory

National Provider Directory
Tax ID family
Select Care Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1164536108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7762 N FEDERAL ROAD",
            "address_2": "P.O.BOX256",
            "city": "HOWARDCITY",
            "state": "MI",
            "postal_code": "49329",
            "telephone_number": "231-937-8485",
            "fax_number": "231-937-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7762 N FEDERAL ROAD",
            "city": "HOWARDCITY",
            "state": "MI",
            "postal_code": "49329",
            "telephone_number": "231-937-8485",
            "fax_number": "231-937-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT CARE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "PROMODH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-937-8485",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.