MDL Ventures of West Bloomfield Activerx

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MDL VENTURES OF WEST BLOOMFIELD ACTIVERX

Doing business as

ActiveRx of West Bloomfield

Practice address

6018 W Maple Rd
Suite 850
West Bloomfield, MI 48322-4404

Phone

(248) 932-0111

Fax

(248) 932-0110

NPI assigned

Dec 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark David Lines

Title

Owner

Phone

(248) 932-0111

Specialties & licenses 1

Addresses

Other names 1

• ActiveRx of West Bloomfield Doing business as

Locations

Practitioners 1

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

• Alaina Brown Macbeth, DPT

  • Physical Therapist
  • West Bloomfield, MI
  • NPI 1497031629
  NPD

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356307200000",
    "number": "1306182514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 W MAPLE RD",
            "address_2": "SUITE 850",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224404",
            "telephone_number": "248-932-0111",
            "fax_number": "248-932-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 W MAPLE RD",
            "address_2": "SUITE 850",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224404",
            "telephone_number": "248-932-0111",
            "fax_number": "248-932-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDL VENTURES OF WEST BLOOMFIELD ACTIVERX",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-24",
        "status": "A",
        "authorized_official_last_name": "LINES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-932-0111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActiveRx of West Bloomfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony James McKernan
• Melissa Janet McLaughlin, DPT
• Ashley Diana McMellen, MD
• Cynthera McNeill, DNP, APRN, AGPCNP-C
• Christian McTurk, M.D.
• Jennifer Means, BA, BCABA
• Stavit Measom
• Shavaughn Meaux, BCBA, LBA
• Adela Medic
• Medical Doctors of Michigan, PLLC

• Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2012; 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.