Brian Thomas, ATC, PTA
Individual provider Active NPI Physical Therapy Assistant · Albion, MI
NPI 1255748620 · NPPES record last updated Jul 17, 2014
Key facts
- NPI
- 1255748620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502000396 (MI)
- Practice address
- 300 B Dr N
Albion, MI 49224-8420 - Phone
- (517) 630-0267
- Fax
- (517) 630-0271
- NPI assigned
- Jul 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502000396 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502000396 | MI | Yes |
Addresses
Primary practice location
300 B Dr N
Albion, MI 49224-8420
Mailing address
315 W Allen St
Tekonsha, MI 49092-9421
Phone (517) 414-0520
Other providers in Albion, MI
- Dymond Imari Stokes
- Lane C. Stumpos
- Nicholas Scott Taylor
- Jacob Andrew Tazzi
- Tendercare (Michigan) Inc.
- Megan Thrum
- Barbara Jean Topa
- W a Foote Memorial Hospital Inc
- Maaike Marjet Wallenstein
- Ginger Marie Wanamaker
All providers in Albion, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.