NPIMap

Organization Active NPI

Hand Surgery of Northern Michigan PLC

Doing business as Traverse Bay Hand Therapy PLC

  • Hand Physical Therapist
  • Traverse City, MI
National Provider Identifier
1619029923
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
Legal business name
HAND SURGERY OF NORTHERN MICHIGAN PLC
Doing business as
Traverse Bay Hand Therapy PLC
Practice address
701 W Front St
Suite 100
Traverse City, MI 49684-2236
Phone
(231) 995-9758
Fax
(231) 995-9745
NPI assigned
Jan 17, 2007
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Christine Lee
Title
Administrator
Phone
(231) 995-9748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251H1200X Primary

Addresses

Primary practice location

701 W Front St
Suite 100
Traverse City, MI 49684-2236

Mailing address

701 W Front St
Suite 100
Traverse City, MI 49684-2236
Phone (231) 995-9758

Other identifiers 1

IdentifierTypeStateIssuer
0B81023OtherMIBCBSM

Other names 1

  • Traverse Bay Hand Therapy PLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hand Surgery of Northern Michigan PLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1619029923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "address_2": "SUITE 100",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842236",
            "telephone_number": "231-995-9758",
            "fax_number": "231-995-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "address_2": "SUITE 100",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842236",
            "telephone_number": "231-995-9758",
            "fax_number": "231-995-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND SURGERY OF NORTHERN MICHIGAN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-995-9748"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0B81023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traverse Bay Hand Therapy PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.