NPIMap

Organization Active NPI

Accelerated Mobility Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Traverse City, MI
National Provider Identifier
1295887594
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACCELERATED MOBILITY PHYSICAL THERAPY LLC
Practice address
4000 Eastern Sky Dr
Traverse City, MI 49684-7351
Phone
(231) 932-9014
Fax
(231) 932-9034
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Eric Douglass, PT
Title
Cco
Phone
(941) 870-4401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4000 Eastern Sky Dr
Traverse City, MI 49684-7351

Mailing address

PO Box 632656
Cincinnati, OH 45263-2656
Phone (702) 818-5000

Other names 1

  • FYZICAL Therapy & Balance Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524001395 MI Part B Supplier - Clinic/Group Practice 6709877087 Receives reassigned benefits from 4 practitioners
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Locations

4000 Eastern Sky Dr
Traverse City, MI 49684
Phone (231) 932-9014

1600 Chartwell Dr
Traverse City, MI 49696
Phone (231) 421-5667

1226 S Garfield Ave
Traverse City, MI 49686
Phone (231) 932-9014

4000 Eastern Sky Dr
Ste 6
Traverse City, MI 49684
Phone (231) 932-9014

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1295887594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632656",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632656",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EASTERN SKY DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847351",
            "telephone_number": "231-932-9014",
            "fax_number": "231-932-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED MOBILITY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "941-870-4401",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.