NPIMap

Organization Active NPI

Wholistic Physical Therapy Clinic

Doing business as Wholistic Physical Therapy

  • Physical Therapist
  • Howell, MI
National Provider Identifier
1215536040
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WHOLISTIC PHYSICAL THERAPY CLINIC
Doing business as
Wholistic Physical Therapy
Practice address
4197 E Grand River Ave
Howell, MI 48843-8523
Phone
(517) 258-1356
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Kira HarrisNPI 1851695118
Title
Owner
Phone
(517) 258-1356

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4197 E Grand River Ave
Howell, MI 48843-8523

Mailing address

1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207

Other identifiers 1

IdentifierTypeStateIssuer
N.AOtherMIN/A

Other names 1

  • WHOLISTIC PHYSICAL THERAPY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.wholisticphysicaltherapyclinic.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210108001772 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6709299860 Receives reassigned benefits from 3 practitioners
Practice locations: Howell, MI

National Provider Directory

National Provider Directory

Locations

4197 E Grand River Ave
Howell, MI 48843
Phone (517) 258-1356

Practitioners & affiliated clinicians

Practitioners 4

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": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1215536040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4197 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438523",
            "telephone_number": "517-258-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-258-1356"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "N.A",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.wholisticphysicaltherapyclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "4197 E Grand River Ave",
            "city": "Howell",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488438523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WHOLISTIC PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.