Organization Active NPI

B and C Rehab Services LLC

  • Physical Therapist
  • Portage, MI
National Provider Identifier
1396837589
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501003233 Issued in MI
Legal business name
B AND C REHAB SERVICES LLC
Practice address
2615 Hill an Brook Dr
Portage, MI 49024-5620
Phone
(269) 344-3066
NPI assigned
Sep 28, 2006
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Melanie BaumgartNPI 1427152065
Title
Owner
Phone
(269) 344-3066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501003233 MI Primary

Addresses

Primary practice location

2615 Hill an Brook Dr
Portage, MI 49024-5620

Mailing address

2615 Hill an Brook Dr
Portage, MI 49024-5620

Other identifiers 1

IdentifierTypeStateIssuer
650C913250OtherMIBLUE CROSS BLUE SHIELD MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1396837589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 HILL AN BROOK DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 HILL AN BROOK DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245620",
            "telephone_number": "269-344-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B AND C REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "BAUMGART",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-344-3066"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "650C913250",
            "state": "MI"
        }
    ],
    "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 Nov 25, 2014; 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.