Individual provider Active NPI

Clarence Kelly Hrabinsky, PT

  • Physical Therapist
  • Houghton, MI
National Provider Identifier
1588749022
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006528 Issued in MI
Practice address
901 W Sharon Ave
Suite 1
Houghton, MI 49931-1964
Phone
(906) 483-4800
Fax
(906) 483-3972
NPI assigned
Oct 25, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501006528 MI Primary

Addresses

Primary practice location

901 W Sharon Ave
Suite 1
Houghton, MI 49931-1964

Mailing address

49253 Hwy M26
Hancock, MI 49930
Phone (906) 483-0798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501006528MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Mechanix Physical Therapy of Marquette, LLC Physical Therapist PastSince Jun 1, 2005 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1588749022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49253 HWY M26",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "49930",
            "telephone_number": "906-483-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W SHARON AVE",
            "address_2": "SUITE 1",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311964",
            "telephone_number": "906-483-4800",
            "fax_number": "906-483-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRABINSKY",
        "first_name": "CLARENCE",
        "middle_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.