Michigan Spine and Joint Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MICHIGAN SPINE AND JOINT PHYSICAL THERAPY LLC

Practice address

2401 W Genesee St
Suite a
Lapeer, MI 48446-1779

Phone

(810) 245-7799

Fax

(810) 245-7789

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kendra M Wade, DPT

Title

Owner

Phone

(810) 245-7799

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey John Jacob, D.P.T.

  • Physical Therapist
  • Metamora, MI
  • NPI 1558429969
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1386922508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484800757",
            "telephone_number": "810-245-7799",
            "fax_number": "810-245-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W GENESEE ST",
            "address_2": "SUITE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461779",
            "telephone_number": "810-245-7799",
            "fax_number": "810-245-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPINE AND JOINT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-245-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Meyer, LMSW
• Michigan Healthcare Professionals PC
• Michigan Hospital Physicians, PC
• Michigan Rheumatology Group PC
• Michigan Spinal Rehabilitation Clinics PLLC
• Lillian Dawn Miller
• Samantha Miller, DPT
• Alexandria Minerath, M.D.
• Jason Mingo
• David Joseph Misura, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.