Age at Home Therapy PLLC
Organization Active NPI Physical Therapist · Okemos, MI
NPI 1205416484 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1205416484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AGE AT HOME THERAPY PLLC
- Practice address
- 1587 Maiden LN
Okemos, MI 48864-1279 - Phone
- (313) 230-4305
- NPI assigned
- Apr 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Monica Coleman, PT, DPT
- Title
- Owner-Physical Therapist
- Phone
- (517) 599-6536
Practitioners 1
-
Monica Coleman, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210507002122 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8224447065 |
Receives reassigned benefits from 1 practitioner Practice locations: Okemos, MI |
National Provider Directory
Locations
2160 Commons Pkwy
Okemos, MI 48864
Phone (517) 599-6536
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1587 Maiden LN
Okemos, MI 48864-1279
Mailing address
PO Box 1031
Okemos, MI 48805-1031
Other providers in Okemos, MI
- Advanced Medical Services, PLLC.
- Advanced Rheumatology, PC
- Allison Dama Affandy
- Affinity Counseling LLC
- Andlib Afshan
- Agency for Growth
- Agewise Mobility, LLC
- Harpreet Aggarwal
- Agility Home Health Care Services, Inc.
- Agnar Health Solutions, Inc.
All providers in Okemos, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.