NPIMap

Organization Active NPI

Midland Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Midland, MI
National Provider Identifier
1629181920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501008926 Issued in MI
Legal business name
MIDLAND PHYSICAL THERAPY INC.
Practice address
5319 N Saginaw Rd
Suite a
Midland, MI 48642-7501
Phone
(989) 832-6485
Fax
(989) 832-6487
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sheila Ann Lsles-Truax
Title
President Director
Phone
(989) 832-6485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501008926 MI Primary

Addresses

Primary practice location

5319 N Saginaw Rd
Suite a
Midland, MI 48642-7501

Mailing address

5319 N Saginaw Rd
Suite a
Midland, MI 48642-7501
Phone (989) 832-6485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140728001343 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254390727 Receives reassigned benefits from 6 practitioners
Practice locations: Midland, MI

National Provider Directory

National Provider Directory

Locations

5319 N Saginaw Rd
Ste A
Midland, MI 48642
Phone (517) 832-6485

5319 N Saginaw Rd
Midland, MI 48642
Phone (989) 832-6485

Practitioners & affiliated clinicians

Practitioners 9

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629181920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 N SAGINAW RD",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427501",
            "telephone_number": "989-832-6485",
            "fax_number": "989-832-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 N SAGINAW RD",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427501",
            "telephone_number": "989-832-6485",
            "fax_number": "989-832-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LSLES-TRUAX",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "989-832-6485"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501008926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.