NPIMap

Organization Active NPI

Thibodeau Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Lapeer, MI
National Provider Identifier
1508943853
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THIBODEAU PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice address
1794 N Lapeer Rd
Suite C
Lapeer, MI 48446-7751
Phone
(810) 664-3000
Fax
(810) 664-9775
NPI assigned
Nov 1, 2006
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Richard Binstein
Title
Evp
Phone
(713) 297-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

1794 N Lapeer Rd
Suite C
Lapeer, MI 48446-7751

Mailing address

1794 N Lapeer Rd
Suite C
Lapeer, MI 48446-7751
Phone (810) 664-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508943853. Details of each certification follow.

  • CCN 236875 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 236875

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THIBODEAU PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 12, 2015
Last certification
Nov 14, 2024
Ownership / control type
Proprietary
Facility address
1794 N Lapeer Road, Suite C
Lapeer, MI 48446

National Provider Directory

National Provider Directory

Locations

1769 S Cedar St
Imlay City, MI 48444
Phone (810) 721-0421

1794 N Lapeer Rd
Ste C
Lapeer, MI 48446
Phone (810) 664-3000

773 East St
Lapeer, MI 48446
Phone (810) 664-3000

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1508943853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 N LAPEER RD",
            "address_2": "SUITE C",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484467751",
            "telephone_number": "810-664-3000",
            "fax_number": "810-664-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 N LAPEER RD",
            "address_2": "SUITE C",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484467751",
            "telephone_number": "810-664-3000",
            "fax_number": "810-664-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODEAU PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.