Great Lakes Therapeutics, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GREAT LAKES THERAPEUTICS, LLC

Practice address

3491 S Huron Rd
Bay City, MI 48706-1547

Phone

(989) 667-6469

Fax

(989) 488-4444

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Dale J Sharrard

Title

Ceo

Phone

(989) 326-0929

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Londry, PT, DPT

  • Physical Therapist
  • Bay City, MI
  • NPI 1467760074
  NPD (past)
• Matthew James Smith, OTR

  • Occupational Therapist
  • Bay City, MI
  • NPI 1942564265
  NPD (past)
• Eric Merrill Sweterlitsch, MD

  • Cardiovascular Disease Physician
  • Bay City, MI
  • NPI 1962426213
  NPD (past)
• Dana Ann Taylor, PT DPT

  • Physical Therapist
  • Bay City, MI
  • NPI 1558616854
  NPD (past)

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1629370663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 S HURON RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487061547",
            "telephone_number": "989-326-0929",
            "fax_number": "989-488-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 S HURON RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487061547",
            "telephone_number": "989-667-6469",
            "fax_number": "989-488-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "SHARRARD",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-326-0929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Medical Center PLLC
• Great Lakes Pain Consult PLLC
• Great Lakes Pathway Mobility LLC
• Great Lakes Physician Resources PLLC
• Great Lakes Research Group, Inc.
• Greater Bay Transport Company
• Andrew Z Green, DDS
• Jordan Lynn Green
• Rachel Greenberg
• John Jacob Greene

• All providers in Bay City, MI
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.