Northport Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501003462 Issued in MI

Legal business name

NORTHPORT PHYSICAL THERAPY, LLC

Practice address

301 N Mill St
Northport, MI 49670-5009

Phone

(231) 386-7147

NPI assigned

Mar 9, 2015

Last updated

Mar 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa Mary Maday, PT, DPTNPI 1154596807

Title

Owner

Phone

(989) 652-0167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Mary Maday, PT,DPT,MTC,CPT

  • Physical Therapist
  • Frankenmuth, MI
  • NPI 1154596807
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1366835811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9242 ORMES RD",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689682",
            "telephone_number": "989-652-0167",
            "fax_number": "989-652-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MILL ST",
            "city": "NORTHPORT",
            "state": "MI",
            "postal_code": "496705009",
            "telephone_number": "231-386-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPORT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "MADAY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-652-0167",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501003462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Making Strides LLC (Making Strides Therapeutic Services)
• Michael J Ziter MD PLLC
• Michael J Ziter MD PLLC
• Northport Medical Clinic PLC
• Northport Medical Clinic PLLC
• Parkside of Northport (Northport Highlands)
• Douglas James Racich, D.D.S.
• Michael Howard Rummel, DDS
• Susan Ellen Thomas
• Township of Leelanau (Leelanau Township Fire Department)

• Physical Therapy Clinic/Center in Northport, MI
• Providers in Northport, 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 Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.