Organization Active NPI

Holistic Healing Centers of Michigan Inc.

  • Orthopedic Physical Therapist
  • W Bloomfield, MI
National Provider Identifier
1306169743
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5502000247 Issued in MI
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

Updated by the provider on Mar 11, 2010

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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20110713000222 MI Part B Supplier - Clinic/Group Practice 4082882345 Receives reassigned benefits from 3 practitioners
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.