John Michael Phillips, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501001972 Issued in MI

Practice address

700 River Avenue
Ste B
Iron Mountain, MI 49801

Phone

(906) 776-9003

Fax

(906) 776-9063

NPI assigned

Sep 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Upper Peninsula Sports Medicine & Therapy Center

  • Durable Medical Equipment & Medical Supplies
  • Marquette, MI
  • NPI 1336298421
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1467559559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 COUNTY ROAD HQ",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-5570",
            "fax_number": "906-225-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RIVER AVENUE",
            "address_2": "STE B",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "49801",
            "telephone_number": "906-776-9003",
            "fax_number": "906-776-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter L Begres P C
• Pamela Peterson
• Robert Charles Peterson, GNP
• Sarah J Petschar, NP
• Amanda Jane Petti, RD
• Nicole Phillips
• Heidi Picord
• Carol Pilot, LPN
• Curtis D. Pitts, MSW
• Peggy Claire Pontti, CRNA

• Physical Therapist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.