Prime Recovery and Rehabilitation PLLC
Organization Active NPI Physical Therapist · Bath, MI
NPI 1548135965 · NPPES record last updated Apr 9, 2026
Key facts
- NPI
- 1548135965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PRIME RECOVERY AND REHABILITATION PLLC
- Practice address
- 5815 Clark Rd Ste F
Bath, MI 48808-8789 - Phone
- (517) 299-1273
- Fax
- (517) 507-4897
- NPI assigned
- Oct 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Lawrence Bogner II, PT, DPT, ATC
- Title
- Owner
- Phone
- (517) 299-9463
Practitioners 1
-
Lawrence Robert Bogner II, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260421000359 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1759857311 |
Receives reassigned benefits from 1 practitioner Practice locations: Bath, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
5815 Clark Rd Ste F
Bath, MI 48808-8789
Mailing address
13922 Mead Creek Rd
Bath, MI 48808-8704
Phone (517) 299-1273
Other names
- Prime Recovery and Rehabilitation, PLLC
Other providers in Bath, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.