Greater Heights Physical Therapy and Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GREATER HEIGHTS PHYSICAL THERAPY AND PERFORMANCE LLC

Practice address

10783 E Cherry Bend Rd # 27
Traverse City, MI 49684-5249

Phone

(231) 357-9173

NPI assigned

Mar 28, 2024

Last updated

Apr 3, 2024By 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

Guy BeachnauNPI 1134868698

Title

Administrator

Phone

(231) 357-9173

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, and the practitioner matching its NPPES authorized official.

• Guy P Beachnau, PT

  • Physical Therapist
  • Harbor Springs, MI
  • NPI 1134868698
  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1396596250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "OMENA",
            "state": "MI",
            "postal_code": "496740279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10783 E CHERRY BEND RD # 27",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845249",
            "telephone_number": "231-357-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HEIGHTS PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "BEACHNAU",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-357-9173"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Plastic Surgery Center
• Great Lakes Support Services
• Great Lakes Therapy at Orchard Creek Campus
• Great Lakes Therapy House Calls PC (Great Lakes Physical Therapy Center)
• Great Lakes Therapy Housecalls, P.C. (Great Lakes Physical Therapy Center)
• Heidi Braun Grebe, PHARM.D.
• Andrea Greck
• Green Acres Afc
• Casey Nichole Green, PA-C
• Jenifer Lyn Green, CNP

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.