NPIMap

Organization Active NPI

Copper Country Physical Therapy

  • Physical Therapist
  • Houghton, MI
National Provider Identifier
1346518230
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005153 Issued in MI
Legal business name
COPPER COUNTRY PHYSICAL THERAPY
Practice address
21710 Peepsock Cir
Houghton, MI 49931-1050
Phone
(906) 231-5029
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Philip J SmytheNPI 1861720120
Title
Owner
Phone
(906) 231-5029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501005153 MI Primary

Addresses

Primary practice location

21710 Peepsock Cir
Houghton, MI 49931-1050

Mailing address

21710 Peepsock Cir
Houghton, MI 49931-1050
Phone (906) 231-5029

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1346518230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21710 PEEPSOCK CIR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311050",
            "telephone_number": "906-231-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 PEEPSOCK CIR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311050",
            "telephone_number": "906-231-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER COUNTRY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "SMYTHE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-231-5029"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.