Organization Active NPI

Refine Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Plymouth, MI
National Provider Identifier
1457022345
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REFINE PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
44670 Ann Arbor Rd W Ste 140
Plymouth, MI 48170-3962
Phone
(734) 658-6522
Fax
(734) 545-8135
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Dr. Nicole Teresa Lorenz, DPTNPI 1255671517
Title
Physical Therapist
Phone
(734) 658-6522

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

44670 Ann Arbor Rd W Ste 140
Plymouth, MI 48170-3962

Mailing address

8489 Kingsley Dr
Canton, MI 48187-1915
Phone (734) 658-6522

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://refineptwellness.janeapp.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211014002755 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749688182 Receives reassigned benefits from 3 practitioners
Practice locations: Plymouth, MI

National Provider Directory

National Provider Directory

Locations

580 Forest Ave
Ste 1B
Plymouth, MI 48170
Phone (734) 453-2207

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1457022345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8489 KINGSLEY DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871915",
            "telephone_number": "734-658-6522",
            "fax_number": "734-545-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44670 ANN ARBOR RD W STE 140",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703962",
            "telephone_number": "734-658-6522",
            "fax_number": "734-545-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFINE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "734-658-6522",
        "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": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://refineptwellness.janeapp.com/",
            "affiliation": "N",
            "endpointDescription": "Electronic medical record software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "580 Forest Ave Ste 1B",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481701780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.