Professional Spectrum Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL SPECTRUM INC

Doing business as

Medical Professionals Inc

Practice address

1055 Charter Dr
Suite 102
Flint, MI 48532-3589

Phone

(810) 600-0000

Fax

(810) 600-0002

NPI assigned

Aug 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Valentina M Lopez, RN

Title

Owner President

Phone

(810) 600-0000

Specialties & licenses 2

Addresses

Other names 1

• Medical Professionals Inc Doing business as

Locations

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1376775122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CHARTER DR",
            "address_2": "SUITE 102",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323589",
            "telephone_number": "810-600-0000",
            "fax_number": "810-600-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CHARTER DR",
            "address_2": "SUITE 102",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323589",
            "telephone_number": "810-600-0000",
            "fax_number": "810-600-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPECTRUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "810-600-0000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Professionals Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lisa Marie Provost, MA, LLP
• Christyn Marie-Catherine Prowant

• Physical Therapist in Flint, MI
• Providers in Flint, 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 12, 2009; 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.