Empower Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015335 Issued in MI

Legal business name

EMPOWER PHYSICAL THERAPY, LLC

Practice address

5000 Portage Rd
Portage, MI 49002-1729

Phone

(269) 327-3677

NPI assigned

Aug 29, 2011

Organization subpart

No

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

Authorized official

Name

Laythen Young, PT

Title

President

Phone

(269) 327-3677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1356621874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 COMMERCE AVE SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034124",
            "telephone_number": "616-940-0660",
            "fax_number": "616-940-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PORTAGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021729",
            "telephone_number": "269-327-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LAYTHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-327-3677",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ellis
• Kimberly Lynn Ellrich, MS, CCC-SLP
• Raghuram Gop Elluru, M.D., F.A.C.S.
• Ban Elrayes
• Erin Elisabeth Emery
• Alyssa Engle, MD
• Robert Carl Ensfield, M.D.
• Samantha Shameem Epp, LMSW
• Travis James Ericksen, LPC
• Nicole Marie Erickson, LCSW

• Physical Therapist in Portage, MI
• Providers in Portage, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.