Active NPI
Holistic Healing Centers of Michigan Inc.
- Orthopedic Physical Therapist
- W Bloomfield, MI
National Provider Identifier
1306169743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5502000247
- Legal business name
- HOLISTIC HEALING CENTERS OF MICHIGAN INC.
- Practice address
- 4271 Stoddard Rd
W Bloomfield, MI 48323-3259 - Phone
- (248) 865-7686
- Fax
- (248) 865-7686
- NPI assigned
- Mar 11, 2010
- 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
- Mr. Al J Brown, PTA, MPC, I.M.T., C.
- Title
- President
- Phone
- (586) 755-4711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5502000247 | MI | Primary |
Addresses
Primary practice location
4271 Stoddard Rd
W Bloomfield, MI 48323-3259
Mailing address
4271 Stoddard Rd
W Bloomfield, MI 48323-3259
Phone (248) 865-7686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3665 E 11 Mile Rd
Ste B
Warren, MI 48092
Phone (586) 558-0175
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Warren, MI
- NPI 1134311657
-
- Physical Therapist
- Warren, MI
- NPI 1801086590
-
- Physical Therapist
- Commerce Township, MI
- NPI 1568874121
-
- Orthopedic Physical Therapist
- Warren, MI
- NPI 1003150111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268265600000",
"number": "1306169743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4271 STODDARD RD",
"city": "W BLOOMFIELD",
"state": "MI",
"postal_code": "483233259",
"telephone_number": "248-865-7686",
"fax_number": "248-865-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4271 STODDARD RD",
"city": "W BLOOMFIELD",
"state": "MI",
"postal_code": "483233259",
"telephone_number": "248-865-7686",
"fax_number": "248-865-7686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC HEALING CENTERS OF MICHIGAN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-11",
"last_updated": "2010-03-11",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "AL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-755-4711",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PTA, MPC, I.M.T., C."
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "MI",
"license": "5502000247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in W Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.