Northern Michigan Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501013362 Issued in MI

Legal business name

NORTHERN MICHIGAN PHYSICAL THERAPY

Practice address

1001 M 28 E Ste 8
Marquette, MI 49855-9322

Phone

(906) 630-1153

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Columb, DPT, OCS, MT(ASCP)NPI 1497952824

Title

President

Phone

(906) 630-1153

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Joseph Columb, DPT, OCS, MT(ASCP)

  • Physical Therapist
  • Marquette, MI
  • NPI 1497952824
  Medicare reassignment NPD Authorized official
• Karin Heidelberger, P.T.

  • Physical Therapist
  • Marquette, MI
  • NPI 1275925323
  NPD (past)
• Sally Johnson, B.S., PTA

  • Physical Therapy Assistant
  • Marquette, MI
  • NPI 1265808414
  NPD (past)

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1558646109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 M 28 E STE 8",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559322",
            "telephone_number": "906-630-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 M 28 E STE 8",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559322",
            "telephone_number": "906-630-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "COLUMB",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-630-1153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, OCS, MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501013362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norlite Nursing Centers of Marquette Inc
• Northbound Behavioral Health LLC
• Northcare Network
• Northcoast Radiology Associates, PC
• Northcountry Health of Marquette, PC
• Northern Michigan University
• Northern Michigan University
• Northern Michigan University
• Northern Neurosurgery Group, PC
• Northern Orthotics & Prosthetics

• Physical Therapy Clinic/Center in Marquette, MI
• Providers in Marquette, 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 Jun 21, 2012; 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.