William R Pourcho, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010094 Issued in MI

Practice address

621 Court St
Ste 101
West Branch, MI 48661-9390

Phone

(989) 343-3000

Fax

(989) 343-3003

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Rehabilitation and Personal Training P CGroup PAC ID 6901853241, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Rehabilitation and Personal Training P C

  • Physical Therapist
  • West Branch, MI
  • NPI 1518032671
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1417058231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 COURT ST",
            "address_2": "STE 101",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-343-3000",
            "fax_number": "989-343-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 COURT ST",
            "address_2": "STE 101",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-343-3000",
            "fax_number": "989-343-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURCHO",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1015964",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104493369",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650F500040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Kevin Phelps Jr., PHARMD
• Pinnacle Rehabilitation and Personal Training P C
• Pioneer Family Pharmacy Inc
• Stephanie Marie Pokrzywnicki, BCABA
• Stacey Pollock, CHW
• Laura B Prescott, M.D.
• Grant Price, PA-C
• Erica Pritchard, OD
• Professional Breathing Associates Inc (Abc Medical Supply)
• Progress Physical Therapy Network Inc

• Physical Therapist in West Branch, MI
• Providers in West Branch, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.