In Home Rehab of Dickinson County

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IN HOME REHAB OF DICKINSON COUNTY

Practice address

W3101 Ridgecrest Dr
Vulcan, MI 49892-8290

Phone

(906) 563-8920

Fax

(906) 563-8942

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl L Carlson, P.T.

Title

Owner

Phone

(906) 563-8920

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1487604203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "LORETTO",
            "state": "MI",
            "postal_code": "498520163",
            "telephone_number": "906-563-8920",
            "fax_number": "906-563-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3101 RIDGECREST DR",
            "city": "VULCAN",
            "state": "MI",
            "postal_code": "498928290",
            "telephone_number": "906-563-8920",
            "fax_number": "906-563-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME REHAB OF DICKINSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-563-8920",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650B210460",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DE7826",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Carlson, P.T.
• Carolyn Faith Clay-Pineda, P.T.
• Faithorn Rescue Squad
• Faithorn Rescue Squad
• Great Lakes Independent Eyecare Network LLC
• Northern Lights Home Health Inc.
• Joshua David Schaefer, LMT

• Physical Therapy Clinic/Center in Vulcan, MI
• Providers in Vulcan, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.