Active NPI
Foundation Manual Physical Therapy and Performance
- Physical Therapy Clinic/Center
- Grosse Pointe Woods, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- FOUNDATION MANUAL PHYSICAL THERAPY AND PERFORMANCE
- Practice address
- 1756 Huntington Blvd
Grosse Pointe Woods, MI 48236-1916 - Phone
- (586) 615-8585
- NPI assigned
- Apr 19, 2021
- Last updated
- Apr 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas Edward Johnson, DPT
- Title
- Physical Therapist
- Phone
- (586) 615-8585
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
1756 Huntington Blvd
Grosse Pointe Woods, MI 48236-1916
Mailing address
1756 Huntington Blvd
Grosse Pointe Woods, MI 48236-1916
Phone (586) 615-8585
National Provider Directory
National Provider Directory- Tax ID family
- Foundation Manual Physical Therapy and Performance
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Royal Oak, MI
- NPI 1790453322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Clinton TWP, MI
- NPI 1508905357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618790400000",
"number": "1659952711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1756 HUNTINGTON BLVD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361916",
"telephone_number": "586-615-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1756 HUNTINGTON BLVD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361916",
"telephone_number": "586-615-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATION MANUAL PHYSICAL THERAPY AND PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "586-615-8585",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.