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
-
George Purdy Carson III, P.T.
-
Todd Michael Cummings, PT OMPT
-
Garrett Emerick, DPT
-
Olivia Hutchison, DPT
-
Megan Korth, DPT
-
Steven Charles Lukens, M.P.T.
-
Marissa J Ogboh, DPT
-
Jamie Marie Pierce, D.P.T.
-
Mitchell Seeling, DPT
-
Sheri Marie Wolcott, DPT
-
Griffin Balick, DPT
-
Trevor Gerard Barthel, PT, DPT
-
Derek Brady, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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
- Veronica Rose Haslacker
- Kaye Hastings
- Marygrace Therese Hayden
- Roxanne Haynes
- Samantha K Hazelton
- Pam Heany
- Kaeleigh Heatley
- Alexis Ann Hegedus
- Stephanie Denise Wilson Hegle
- Mark E Heim
All providers in Clarkston, MI · Physical Therapy Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.