Organization Active NPI

Healthtrak Physical Therapy Inc

Doing business as HealthTrak Rehabilitation Services

  • Specialist
  • Bay City, MI
National Provider Identifier
1407060221
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HEALTHTRAK PHYSICAL THERAPY INC
Doing business as
HealthTrak Rehabilitation Services
Practice address
903 N Euclid Ave
Suite 3
Bay City, MI 48706-2478
Phone
(989) 684-5009
Fax
(989) 684-6929
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Mr. James T Eckhout, R..P.T.
Title
Owner
Phone
(989) 684-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

903 N Euclid Ave
Suite 3
Bay City, MI 48706-2478

Mailing address

903 N Euclid Ave
Suite 3
Bay City, MI 48706-2478
Phone (989) 684-5009

Other identifiers 6

IdentifierTypeStateIssuer
30649OtherMIBLUE CARE NETWORK PROV #
4784651MedicaidMI
4617396OtherMIAETNA PROVIDER NUMBER
0981311OtherMIHEALTHPLUS PROV #
30649OtherMIBLUE CROSS OF MI PROV#
1009815OtherMAMCLAREN PROVIDER NUMBER

Other names 1

  • HealthTrak Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory

Locations

903 N Euclid Ave
Bay City, MI 48706
Phone (989) 667-4230

903 N Euclid Ave
Ste 3
Bay City, MI 48706
Phone (989) 684-5009

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1407060221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N EUCLID AVE",
            "address_2": "SUITE 3",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062478",
            "telephone_number": "989-684-5009",
            "fax_number": "989-684-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N EUCLID AVE",
            "address_2": "SUITE 3",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062478",
            "telephone_number": "989-684-5009",
            "fax_number": "989-684-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTRAK PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "ECKHOUT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-684-5009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R..P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK PROV #",
            "identifier": "30649",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4784651",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4617396",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS PROV #",
            "identifier": "0981311",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MI PROV#",
            "identifier": "30649",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN PROVIDER NUMBER",
            "identifier": "1009815",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthTrak Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.