NPIMap

Organization Active NPI

Proactive Plus Physical Therapy PLC

  • Physical Therapy Clinic/Center
  • Roscommon, MI
National Provider Identifier
1306030663
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROACTIVE PLUS PHYSICAL THERAPY PLC
Practice address
4079 W Marl LK Rd
Roscommon, MI 48653-9282
Phone
(989) 821-6363
NPI assigned
Aug 30, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mr. Pramod Kumar SinghNPI 1588785091
Title
Physical Therapist/Owner
Phone
(989) 821-6363

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4079 W Marl LK Rd
Roscommon, MI 48653-9282

Mailing address

4079 W Marl LK Rd
Roscommon, MI 48653-9282
Phone (989) 821-6363

National Provider Directory

National Provider Directory

Locations

4079 Marl Lake Rd
Roscommon, MI 48653
Phone (989) 821-6363

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1306030663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 W MARL LK RD",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486539282",
            "telephone_number": "989-821-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4079 W MARL LK RD",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486539282",
            "telephone_number": "989-821-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PLUS PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "989-821-6363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roscommon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.