NPIMap

Organization Active NPI

Summit Physical Therapy Professionals, LLC

  • Physical Therapy Clinic/Center
  • Bay City, MI
National Provider Identifier
1245495779
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501008017 Issued in MI
Legal business name
SUMMIT PHYSICAL THERAPY PROFESSIONALS, LLC
Practice address
1901 S Euclid Ave Ste 3
Bay City, MI 48706-3491
Phone
(989) 667-6460
Fax
(989) 667-6462
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Mr. Timothy Scott Belill, MPTNPI 1184725103
Title
Owner/Physical Therapist
Phone
(989) 752-7823

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 Therapy Clinic/Center 261QP2000X 5501008017 MI Primary

Addresses

Primary practice location

1901 S Euclid Ave Ste 3
Bay City, MI 48706-3491

Mailing address

1901 S Euclid Ave Ste 3
Bay City, MI 48706-3491
Phone (989) 667-6460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081208000535 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971664061 Receives reassigned benefits from 4 practitioners
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

1901 S Euclid Ave
Ste 3
Bay City, MI 48706
Phone (989) 667-6460

Practitioners & affiliated clinicians

Practitioners 5

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": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1245495779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S EUCLID AVE STE 3",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063491",
            "telephone_number": "989-667-6460",
            "fax_number": "989-667-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S EUCLID AVE STE 3",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063491",
            "telephone_number": "989-667-6460",
            "fax_number": "989-667-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "BELILL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "989-752-7823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501008017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.