NPIMap

Organization Active NPI

Physical Therapy Services of Chelsea, LLC

  • Physical Therapist
  • Chelsea, MI
National Provider Identifier
1467464206
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011355 Issued in MI
Legal business name
PHYSICAL THERAPY SERVICES OF CHELSEA, LLC
Practice address
350 N Main St
Chelsea, MI 48118-1280
Phone
(734) 277-2468
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Ms. Kathy Lou Carrier, PTNPI 1538199070
Title
President
Phone
(269) 372-8483

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: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501011355 MI Primary

Addresses

Primary practice location

350 N Main St
Chelsea, MI 48118-1280

Mailing address

8682 Wallinwood Farms Ave
Jenison, MI 49428-9419
Phone (616) 457-4891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061130000178 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375541360 Receives reassigned benefits from 4 practitioners
Practice locations: Chelsea, MI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

350 N Main St
Ste 180
Chelsea, MI 48118
Phone (734) 475-9925

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1467464206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8682 WALLINWOOD FARMS AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289419",
            "telephone_number": "616-457-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181280",
            "telephone_number": "734-277-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES OF CHELSEA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "CARRIER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-372-8483",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.