Community Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COMMUNITY PHYSICAL THERAPY INC.

Practice address

119 W Main St
Rose City, MI 48654-2502

Phone

(989) 685-3836

Fax

(989) 343-1098

NPI assigned

Feb 1, 2007

Last updated

Sep 20, 2012By 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

Mr. Samuel Tabayoyong, RNBSN

Title

Alternate Administrator

Phone

(989) 685-3836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1386782613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W MAIN ST",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486542502",
            "telephone_number": "989-685-3836",
            "fax_number": "989-343-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W MAIN ST",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486542502",
            "telephone_number": "989-685-3836",
            "fax_number": "989-343-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "TABAYOYONG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "989-685-3836",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RNBSN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agility Rehabilitation, LLC
• Tiffany Marie Barber
• Ronda Childress, LMT
• Community Rehabilitation Services,PC
• Annet Fay Culbertson
• Suzanne Jean Engemann, RPH
• Christopher Richard Hebert II, LPN
• Kaitlyn Irene-Lee King

• Physical Therapy Clinic/Center in Rose City, MI
• Providers in Rose City, 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 Sep 20, 2012; 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.