Organization Active NPI

Fila Performance and Rehab

  • Physical Therapy Clinic/Center
  • Kalamazoo, MI
National Provider Identifier
1619732856
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FILA PERFORMANCE AND REHAB
Practice address
8776 S 10TH St
Kalamazoo, MI 49009-8944
Phone
(231) 758-4159
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Andrew Fila, PT, DPT, OCSNPI 1952878381
Title
Physical Therapist
Phone
(231) 758-4159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8776 S 10TH St
Kalamazoo, MI 49009-8944

Mailing address

8776 S 10TH St
Kalamazoo, MI 49009-8944
Phone (231) 758-4159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240826002055 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406395169 Receives reassigned benefits from 1 practitioner
Practice locations: Portage, MI

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.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1619732856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 S 10TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098944",
            "telephone_number": "231-758-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8776 S 10TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098944",
            "telephone_number": "231-758-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILA PERFORMANCE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "FILA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "231-758-4159",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.