NPIMap

Organization Active NPI

Bella Rose Rehabilitation & Aquatic Services LLC

  • Physical Therapist
  • Lake City, MI
National Provider Identifier
1568741767
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BELLA ROSE REHABILITATION & AQUATIC SERVICES LLC
Practice address
1900 S Lachance Rd
Lake City, MI 49651-8024
Phone
(231) 775-3081
Fax
(231) 775-7740
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Esther E Nederhood, RN
Title
Owner
Phone
(231) 775-3081

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1900 S Lachance Rd
Lake City, MI 49651-8024

Mailing address

1900 S Lachance Road
Lake City, MI 49651
Phone (231) 775-3081

National Provider Directory

National Provider Directory

Locations

1900 S Lachance Rd
Lake City, MI 49651
Phone (231) 775-3081

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1568741767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S LACHANCE ROAD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "49651",
            "telephone_number": "231-775-3081",
            "fax_number": "231-775-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S LACHANCE RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496518024",
            "telephone_number": "231-775-3081",
            "fax_number": "231-775-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA ROSE REHABILITATION & AQUATIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "NEDERHOOD",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-775-3081",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.