Organization Active NPI

Monroe Orthopedic Therapy Inc

  • Physical Therapist
  • Monroe, MI
National Provider Identifier
1528079696
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MONROE ORTHOPEDIC THERAPY INC
Practice address
1515 N Telegraph Road
Monroe, MI 48162
Phone
(734) 242-4866
Fax
(734) 242-3559
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
William H Dwight, PT
Title
Owner Administrator
Phone
(248) 866-4364

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1515 N Telegraph Road
Monroe, MI 48162

Mailing address

42615 Garfield
Clinton Township, MI 48038
Phone (586) 412-2846

Other identifiers 1

IdentifierTypeStateIssuer
650E810940OtherBC

National Provider Directory

National Provider Directory

Locations

42615 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-2845

1515 N Telegraph Rd
Monroe, MI 48162
Phone (734) 242-4866

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1528079696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42615 GARFIELD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-412-2846",
            "fax_number": "586-286-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N TELEGRAPH ROAD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-242-4866",
            "fax_number": "734-242-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE ORTHOPEDIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "DWIGHT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER  ADMINISTRATOR",
        "authorized_official_telephone_number": "248-866-4364",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "650E810940",
            "state": null
        }
    ],
    "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 Jan 17, 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.