NPIMap

Organization Active NPI

Centric Physical and Occupational Therapy Services,Inc

Doing business as Inhome Rehab Livingston

  • Physical Therapist
  • Grand Blanc, MI
National Provider Identifier
1255352407
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010057 Issued in MI
Legal business name
CENTRIC PHYSICAL AND OCCUPATIONAL THERAPY SERVICES,INC
Doing business as
Inhome Rehab Livingston
Practice address
6136 Pine Creek CT
Grand Blanc, MI 48439-9768
Phone
(810) 487-1337
Fax
(810) 715-1211
NPI assigned
Jul 22, 2006
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Mr. Michael Robert BanksNPI 1346263415
Title
Owner
Phone
(810) 569-5368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010057 MI Primary
Occupational Therapist 225X00000X 5201000803 MI

Addresses

Primary practice location

6136 Pine Creek CT
Grand Blanc, MI 48439-9768

Mailing address

PO Box 405
Linden, MI 48451-0405
Phone (810) 569-5368

Other names 1

  • Inhome Rehab Livingston Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1255352407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484510405",
            "telephone_number": "810-569-5368",
            "fax_number": "810-715-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 PINE CREEK CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399768",
            "telephone_number": "810-487-1337",
            "fax_number": "810-715-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIC PHYSICAL AND OCCUPATIONAL THERAPY SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-569-5368",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010057",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inhome Rehab Livingston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.