Upper Peninsula Sports Medicine & Therapy Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UPPER PENINSULA SPORTS MEDICINE & THERAPY CENTER

Practice address

1414 W Fair Ave
Suite 101
Marquette, MI 49855-2675

Phone

(906) 228-2595

Fax

(906) 228-3313

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Michael Phillips, P.T.NPI 1467559559

Title

Physical Therapist

Phone

(906) 228-2595

Specialties & licenses 1

Addresses

Practitioners 1

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

• John Michael Phillips, P.T.

  • Physical Therapist
  • Iron Mountain, MI
  • NPI 1467559559
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336298421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 101",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-228-2595",
            "fax_number": "906-228-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 101",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-228-2595",
            "fax_number": "906-228-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER PENINSULA SPORTS MEDICINE & THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "906-228-2595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Peninsula Association of Rural Health Services, Inc
• Upper Peninsula Association of Rural Health Services, Inc.
• Upper Peninsula Health Care Solutions, Inc.
• Upper Peninsula Managed Care, LLC
• Upper Peninsula Rehabilitation Medicine Associates P.C.
• Upper Peninsuls Sports Medicine & Therapy Center
• Nancy Uschold, P.T.
• Tabitha Utych
• Ivy Marie Vachon
• Diane Valenzio, B.S.N., M.S.N.

• Durable Medical Equipment & Medical Supplies in Marquette, MI
• Providers in Marquette, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.