Organization Active NPI

Sport and Spine Physical Therapy and Rehab Specialists

  • Physical Therapist
  • Ann Arbor, MI
National Provider Identifier
1639113251
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORT AND SPINE PHYSICAL THERAPY AND REHAB SPECIALISTS
Practice address
5245 Jackson Rd
Suite 2a
Ann Arbor, MI 48103
Phone
(734) 327-4716
Fax
(734) 327-4748
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Larry D Briand, MS, PT, ATC
Title
Co-Owner
Phone
(877) 552-2996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5245 Jackson Rd
Suite 2a
Ann Arbor, MI 48103

Mailing address

PO Box 3497
Sturtevant, WI 53177-0300
Phone (877) 552-2996

National Provider Directory

National Provider Directory

Locations

5245 Jackson Rd
Ste A2
Ann Arbor, MI 48103
Phone (734) 327-4716

2770 Carpenter Rd
Ste 100
Ann Arbor, MI 48108
Phone (734) 585-5053

5245 Jackson Rd
Unit 1
Ann Arbor, MI 48103
Phone (734) 327-4716

Practitioners & affiliated clinicians

Practitioners 3

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1639113251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3497",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531770300",
            "telephone_number": "877-552-2996",
            "fax_number": "866-245-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 JACKSON RD",
            "address_2": "SUITE 2A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-327-4716",
            "fax_number": "734-327-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT AND SPINE PHYSICAL THERAPY AND REHAB SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "877-552-2996",
        "authorized_official_credential": "MS, PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.