Healthquest Physical Therapy and Wellness Center of Clarkston LLC

Organization Active NPI Physical Therapy Clinic/Center · Clarkston, MI

NPI 1326328402 · NPPES record last updated Jan 31, 2023

Key facts

NPI
1326328402
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
HEALTHQUEST PHYSICAL THERAPY AND WELLNESS CENTER OF CLARKSTON LLC
Practice address
32 S Main St
Clarkston, MI 48346-1526
Phone
(248) 922-9001
Fax
(248) 922-9020
NPI assigned
Aug 22, 2011
Organization subpart
No

Authorized official

Name
Julie Martel
Title
Owner
Phone
(248) 601-9207

Practitioners 59

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

View all 59

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111122000279 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698949022 Receives reassigned benefits from 53 practitioners
Practice locations: Berkley, MI; Beverly Hills, MI; Clarkston, MI

National Provider Directory

Locations

2485 Coolidge Hwy
Berkley, MI 48072
Phone (248) 466-3030

31645 Southfield Rd
Beverly Hills, MI 48025
Phone (248) 564-3535

Specialties & licenses

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

Addresses

Primary practice location

32 S Main St
Clarkston, MI 48346-1526

Mailing address

1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207

Other names

  • HealthQuest Physical Therapy and Wellness Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2023.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1326328402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461526",
            "telephone_number": "248-922-9001",
            "fax_number": "248-922-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHQUEST PHYSICAL THERAPY AND WELLNESS CENTER OF CLARKSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MARTEL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-601-9207"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthQuest Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthQuest Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, MI

All providers in Clarkston, MI · Physical Therapy Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.