Fyzical Therapy and Balance Center by the Bay

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FYZICAL THERAPY AND BALANCE CENTER BY THE BAY

Practice address

2609 Charlevoix Rd
Petoskey, MI 49770-8524

Phone

(231) 439-3750

Fax

(231) 439-5918

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Diana Tahtinen

Title

Office Manager

Phone

(231) 439-3750

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1316581226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 CHARLEVOIX RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708524",
            "telephone_number": "231-439-3750",
            "fax_number": "231-439-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 CHARLEVOIX RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708524",
            "telephone_number": "231-439-3750",
            "fax_number": "231-439-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYZICAL THERAPY AND BALANCE CENTER BY THE BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "TAHTINEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-439-3750"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Zamjohn Frost, O.T.
• Danielle Marie Fry, D.M.D., M.S.
• Nathan David Fry, DMD
• Gary Lee Fuchs, MD
• Katie Fulcher
• Gerald A. Gadowski, DO
• William James Gallo, DDS
• James Randall Galloway, DO
• Lisa Anne Galloway, D.O.
• Jazmin Garcia, LMSW

• Physical Therapist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.