Advanced Orthopedics Physical Therapy PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ADVANCED ORTHOPEDICS PHYSICAL THERAPY PLLC

Practice address

1231 Pine Grove Ave
Suite 1a
Port Huron, MI 48060-3500

Phone

(810) 985-6300

Fax

(810) 985-9320

NPI assigned

Aug 12, 2008

Organization subpart

Yes

Parent organization

ADVANCED ORTHOPEDIC PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Timothy Lukas, MD

Title

Owner

Phone

(810) 385-7400

Specialties & licenses 1

Addresses

Part of

Advanced Orthopedic PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Advanced Orthopedic PLLC

  • Orthopaedic Surgery Physician
  • Port Huron, MI
  • NPI 1790814986
  NPPES parent name

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1629224423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 PINE GROVE AVE",
            "address_2": "SUITE 1A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603500",
            "telephone_number": "810-985-6300",
            "fax_number": "810-985-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 PINE GROVE AVE",
            "address_2": "SUITE 1A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603500",
            "telephone_number": "810-985-6300",
            "fax_number": "810-985-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDICS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED ORTHOPEDIC PLLC",
        "enumeration_date": "2008-08-12",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "LUKAS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-385-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Physical Therapy and Rehab Services Inc.
• Christa Choquette Addley
• Martha Helen Adelsburg, RPH
• Advanced Orthopedic PLLC
• Advanced Orthopedics Orthotics LLC
• Hafsa Affendi, BDS, MDS, MS
• Anthony V Agrusa, CRNA
• Alecia Ahles
• Aiello Counseling Services, PLLC
• Tim Aiello, MA, LPC, NCC, ADHD-C

• Physical Medicine & Rehabilitation Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

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