NPIMap

Organization Active NPI

Life Beyond Barriers Rehabilitation

  • Physical Therapy Clinic/Center
  • Rockford, MI
National Provider Identifier
1487087300
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIFE BEYOND BARRIERS REHABILITATION
Practice address
521 E Division St
Rockford, MI 49341-1376
Phone
(616) 866-6859
Fax
(616) 866-6897
NPI assigned
Aug 14, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sandy Burns, PT
Title
Executive Director
Phone
(616) 866-6859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

521 E Division St
Rockford, MI 49341-1376

Mailing address

400 Renaissance Ctr
Suite 2900
Detroit, MI 48243-1502
Phone (313) 748-7534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140505000041 MI Part B Supplier - Clinic/Group Practice 4880829738 Receives reassigned benefits from 16 practitioners
Practice locations: Rockford, MI; Traverse City, MI

National Provider Directory

National Provider Directory

Locations

400 Renaissance Ctr
Ste 2900
Detroit, MI 48243
Phone (313) 262-3370

521 E Division St
Rockford, MI 49341
Phone (616) 866-6859

415 Munson Ave
Ste 101
Traverse City, MI 49686
Phone (231) 486-6330

415 Munson Ave
Ste 103
Traverse City, MI 49686
Phone (231) 486-6330

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487087300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RENAISSANCE CTR",
            "address_2": "SUITE 2900",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431502",
            "telephone_number": "313-748-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E DIVISION ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411376",
            "telephone_number": "616-866-6859",
            "fax_number": "616-866-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BEYOND BARRIERS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-866-6859",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.