Bone & Joint Rehabilitation Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

GJ050081 Issued in MI

Legal business name

BONE & JOINT REHABILITATION CENTER

Practice address

2611 Electric Ave
Suite E
Port Huron, MI 48060-6587

Phone

(810) 987-9871

Fax

(810) 987-6070

NPI assigned

Dec 31, 2007

Organization subpart

Yes

Parent organization

BONE & JOINT INSTITUTEAs reported in NPPES

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

Authorized official

Name

Carol L Munn

Title

Billing Clerk

Phone

(810) 987-9871

Specialties & licenses 1

Addresses

Tax ID family

Bone Joint Rehabilitation Center3 organizations share this tax ID, including this one

Part of

Bone Joint Rehabilitation Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bone & Joint Institute P C

  • Orthopaedic Surgery Physician
  • Port Huron, MI
  • NPI 1285817700
  NPD tax ID
• Bone & Joint Institute, P.C.

  • Orthopaedic Surgery Physician
  • Port Huron, MI
  • NPI 1558396721
  NPD tax ID

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1669657383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 ELECTRIC AVE",
            "address_2": "SUITE E",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606587",
            "telephone_number": "810-987-9871",
            "fax_number": "810-987-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 ELECTRIC AVE",
            "address_2": "SUITE E",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606587",
            "telephone_number": "810-987-9871",
            "fax_number": "810-987-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE & JOINT REHABILITATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BONE & JOINT INSTITUTE",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MUNN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "810-987-9871"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "GJ050081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlene Bolman, LMSW
• Sherry Lynn Bombardo, CRNA
• Bone & Joint Institute P C
• Bone & Joint Institute, P.C.
• Bone & Joint Physical Therapy LLC
• Mary Ruth Bonner, CCC SLP
• Michelle Lynn Borders, AUD.
• Brittany Taylor Borges, PMHNP-DNP
• Richard Jay Bosscher, LMSW
• Todd D Boswell, CRNA

• Physical Therapist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.