Complete Physical Therapy and Wellness PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COMPLETE PHYSICAL THERAPY AND WELLNESS PC

Practice address

6770 Dixie Hwy Ste 104
Clarkston, MI 48346-2088

Phone

(248) 625-9466

Fax

(248) 625-9466

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Brian E Keyes, PTNPI 1700975869

Title

Physical Therapist

Phone

(248) 625-9466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Brian Edward Keyes, M.P.T.

  • Physical Therapist
  • Clarkston, MI
  • NPI 1700975869
  Medicare reassignment NPD Authorized official
• Alison Gail Moreira, PT

  • Physical Therapist
  • Flint, MI
  • NPI 1891194619
  Medicare reassignment

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1639256126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY STE 104",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462088",
            "telephone_number": "248-625-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY STE 104",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462088",
            "telephone_number": "248-625-9466",
            "fax_number": "248-625-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PHYSICAL THERAPY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-625-9466",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coddaire & Associates, Inc.
• Stephanie Ann Coleman, PA-C
• Communication Connection Speech and Language Therapy, LLC
• Compass Speech Language Services LLC
• Compassionate Comfort Home Care LLC
• Comprehensive Family Healthcare PLLC
• Comprehensive Family Healthcare, PLLC
• Comprehensive Medical Care
• Cherie Conklin, BEHAVIOR TECHNICIAN
• Danielle Conklin, CTRS

• Physical Therapy Clinic/Center in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.