Active NPI
P.T. Services Rehabilitation, Inc.
- Physical Therapy Clinic/Center
- Monroe, MI
National Provider Identifier
1477555142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- P.T. SERVICES REHABILITATION, INC.
- Practice address
- 15555 S Telegraph Rd
Suite 13
Monroe, MI 48161-4000 - Phone
- (419) 447-7203
- Fax
- (419) 447-5577
- NPI assigned
- Aug 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tina M. Deitemeyer, CCA
- Title
- Administrator
- Phone
- (419) 447-7203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | MI | Primary |
Addresses
Primary practice location
15555 S Telegraph Rd
Suite 13
Monroe, MI 48161-4000
Mailing address
PO Box 833
Tiffin, OH 44883-0833
Phone (419) 447-7203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3032465 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Monroe, MI
- NPI 1194821314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477555142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 833",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448830833",
"telephone_number": "419-447-7203",
"fax_number": "419-447-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15555 S TELEGRAPH RD",
"address_2": "SUITE 13",
"city": "MONROE",
"state": "MI",
"postal_code": "481614000",
"telephone_number": "419-447-7203",
"fax_number": "419-447-5577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P.T. SERVICES REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEITEMEYER",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "419-447-7203",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CCA"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3032465",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.