Mount Pleasant Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501015658 Issued in MI

Legal business name

MOUNT PLEASANT PHYSICAL THERAPY

Practice address

4676 E Broomfield Rd
Mount Pleasant, MI 48858-9192

Phone

(989) 621-8690

NPI assigned

Dec 9, 2011

Last updated

Jul 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Xiaomeng Wang, DPTNPI 1417232547

Title

Owner

Phone

(989) 621-8690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Xiaomeng Wang, DPT

  • Physical Therapist
  • Mt Pleasant, MI
  • NPI 1417232547
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1679841282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 SOMERSET CT",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584498",
            "telephone_number": "989-621-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 E BROOMFIELD RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589192",
            "telephone_number": "989-621-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "XIAOMENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-621-8690",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501015658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Most, LMSW
• Evelia Mota
• Patrick Anthony Moultrie, D.C.
• Mount Pleasant Counseling, PLLC (Greater Michigan Gender Services)
• Mount Pleasant Medical Associates, PLLC
• Mountain Town Family Practice
• Mountain Town Rehab, Inc
• Michael James Moutsatson, D.O.
• Tamara J Moutsatson, DO
• Annette Mozurkewich

• Physical Therapy Clinic/Center in Mt Pleasant, MI
• Providers in Mt Pleasant, 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 Jul 27, 2012; 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.