Active NPI
Michigan Neurology Associates Opt
- Physical Therapy Clinic/Center
- Saint Clair Shores, MI
National Provider Identifier
1265625222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- TG008581
- Legal business name
- MICHIGAN NEUROLOGY ASSOCIATES OPT
- Practice address
- 19699 E 8 Mile Rd
Saint Clair Shores, MI 48080-1655 - Phone
- (586) 445-9900
- NPI assigned
- Aug 23, 2007
- Last updated
- Aug 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Freck
- Title
- Office Manager
- Phone
- (586) 445-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | TG008581 | MI | Primary |
Addresses
Primary practice location
19699 E 8 Mile Rd
Saint Clair Shores, MI 48080-1655
Mailing address
19699 E 8 Mile Rd
Saint Clair Shores, MI 48080-1655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30858 | Other | MI | FACILITY |
National Provider Directory
National Provider Directory- Tax ID family
- Michigan Neurology Associates Opt
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Utica, MI
- NPI 1366895559
-
- Neurology Physician
- Clinton TWP, MI
- NPI 1952556078
-
- Durable Medical Equipment & Medical Supplies
- Saint Clair Shores, MI
- NPI 1982150371
-
- Ambulatory Surgical Clinic/Center
- Clinton TWP, MI
- NPI 1518247295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187827200000",
"number": "1265625222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19699 E 8 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19699 E 8 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801655",
"telephone_number": "586-445-9900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN NEUROLOGY ASSOCIATES OPT",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A",
"authorized_official_last_name": "FRECK",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "586-445-9900"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": "TG008581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY",
"identifier": "30858",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair Shores, MI
- Michigan Forensic Intervention Services
- Michigan Gastroenterology PLLC
- Michigan Institute of Urology Laboratory
- Michigan Institute of Urology PC
- Michigan Neurology Associates DME
- Michigan Neurology Associates PC
- Michigan Private Dental Group (Stoneridge Dental)
- Michigan Psychological, P.C.
- Michigan Share Corporation
- John Joseph Migliazzo, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.