Senior Rehab and Fitness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SENIOR REHAB AND FITNESS LLC

Doing business as

Senior Rehab and Fitness

Practice address

1820 Marys Way
Kingsford, MI 49802-4248

Phone

(906) 282-1653

Fax

(906) 563-8942

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Cheryl L Carlson, PT

Title

Owner

Phone

(906) 282-1653

Specialties & licenses 1

Addresses

Other names 1

• Senior Rehab and Fitness Doing business as

Locations

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1194263731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MARYS WAY",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024248",
            "telephone_number": "906-282-1653",
            "fax_number": "906-563-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MARYS WAY",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024248",
            "telephone_number": "906-282-1653",
            "fax_number": "906-563-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR REHAB AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-282-1653",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Rehab and Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Schauer, SST
• Brittany Schmidt
• Andrew Tyler Schohl
• Katie Lynn Schultz
• Stephanie Spade Schultz, MA
• Corrina Shampo, DC
• Ashley Shayter
• Nilar Shein, M.D.
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC

• Physical Therapy Clinic/Center in Kingsford, MI
• Providers in Kingsford, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.