Organization Active NPI

Mission Physical Therapy, Inc

Doing business as NuStep Physical Therapy

  • Physical Therapy Clinic/Center
  • Mt Pleasant, MI
National Provider Identifier
1578572608
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MISSION PHYSICAL THERAPY, INC
Doing business as
NuStep Physical Therapy
Practice address
555 S Mission St
Suite a
Mt Pleasant, MI 48858-2846
Phone
(989) 772-5800
Fax
(989) 772-4342
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Christopher Ahmed Sakala
Title
Owner-R.P.T.
Phone
(989) 772-5800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Physical Therapy Clinic/Center 261QP2000X MI Primary

Addresses

Primary practice location

555 S Mission St
Suite a
Mt Pleasant, MI 48858-2846

Mailing address

555 S Mission St
Suite a
Mt Pleasant, MI 48858-2846
Phone (989) 772-5800

Other identifiers 4

IdentifierTypeStateIssuer
30474OtherMIBCBSM
900021648OtherMIPRIORITY HEALTH
30474OtherMIBLUE CROSS BLUE SHIELD
104613144MedicaidMI

Other names 1

  • NuStep Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1380 E Main St
Ste 103
Edmore, MI 48829
Phone (989) 427-2701

1277 E Cedar Ave
Ste B
Gladwin, MI 48624
Phone (989) 426-1100

Practitioners & affiliated clinicians

Practitioners 4

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": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1578572608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MISSION ST",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582846",
            "telephone_number": "989-772-5800",
            "fax_number": "989-772-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MISSION ST",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582846",
            "telephone_number": "989-772-5800",
            "fax_number": "989-772-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "SAKALA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER-R.P.T.",
        "authorized_official_telephone_number": "989-772-5800"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "30474",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "900021648",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30474",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104613144",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuStep Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.