NPIMap

Organization Active NPI

Total Body Physical Therapy LLC

  • Physical Therapist
  • Lapeer, MI
National Provider Identifier
1619619194
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TOTAL BODY PHYSICAL THERAPY LLC
Practice address
3379 Lum Rd
Lapeer, MI 48446-8342
Phone
(810) 310-0984
NPI assigned
Apr 13, 2022
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Kortney Gregory, DPTNPI 1215473608
Title
Physical Therapist, Owner
Phone
(810) 310-0984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3379 Lum Rd
Lapeer, MI 48446-8342

Mailing address

3379 Lum Rd
Lapeer, MI 48446-8342

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kortney_619@hotmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1619619194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 LUM RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484468342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 LUM RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484468342",
            "telephone_number": "810-310-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "KORTNEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "810-310-0984",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kortney_619@hotmail.com",
            "affiliation": "N",
            "address_1": "3379 Lum Rd",
            "city": "Lapeer",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484468342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.