Organization Active NPI

Your Alternative PT, LLC

  • Orthopedic Physical Therapist
  • Portage, MI
National Provider Identifier
1386111243
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
YOUR ALTERNATIVE PT, LLC
Practice address
640 Romence Rd Ste 111
Portage, MI 49024-3400
Phone
(269) 491-2321
NPI assigned
Oct 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Kathleen Berglund, PT
Title
Physicial Therapist
Phone
(269) 491-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

640 Romence Rd Ste 111
Portage, MI 49024-3400

Mailing address

640 Romence Rd Ste 111
Portage, MI 49024-3400

National Provider Directory

National Provider Directory

Locations

640 Romence Rd
Ste 111
Portage, MI 49024
Phone (269) 220-5057

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": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1386111243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ROMENCE RD STE 111",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ROMENCE RD STE 111",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243400",
            "telephone_number": "269-491-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR ALTERNATIVE PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "BERGLUND",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PHYSICIAL THERAPIST",
        "authorized_official_telephone_number": "269-491-2321",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.