Mipc Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

4301077632 Issued in MI

Legal business name

MIPC PHYSICAL THERAPY

Practice address

19725 Allen Rd BLDG 1
Suite B
Brownstown TWP, MI 48183-1090

Phone

(734) 225-8728

Fax

(734) 225-8726

NPI assigned

Jul 14, 2016

Last updated

Jul 14, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MICHIGAN INTERVENTIONAL PAIN CENTERAs reported in NPPES

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

Authorized official

Name

Ms. Carla Haladjian

Title

Chief Financial Officer

Phone

(313) 727-5678

Specialties & licenses 1

Addresses

Part of

Mi Interventional Pain Ctr

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEACAA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Michigan Interventional Pain Center,PC

  • Interventional Pain Medicine Physician
  • Brownstown TWP, MI
  • NPI 1053356774
  NPPES parent name

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1326491358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 STRATTON PL",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "482361771",
            "telephone_number": "313-727-5678",
            "fax_number": "313-332-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 ALLEN RD BLDG 1",
            "address_2": "SUITE B",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831090",
            "telephone_number": "734-225-8728",
            "fax_number": "734-225-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIPC PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN INTERVENTIONAL PAIN CENTER",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "HALADJIAN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "313-727-5678",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "4301077632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Anesthesia Consultants, PLLC (MAC Pain & Spine Institute)
• MGS Dental PLLC
• Michigan House Physicians, P.C.
• Michigan Interventional Pain Center,PC
• Andrew Miller, PHARMD
• Patricia Ann Moesner, MD
• Loretta Moore, LPC
• Iqbal A Nasir, M.D.
• Edward Michael O'Connell, PA-C
• Odette Chiropractic Family Health Center PLC

• Physical Therapy Clinic/Center in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.