NPIMap

Organization Active NPI

Summit Physical Therapy, PLLC

  • Physical Therapist
  • Oxford, MI
National Provider Identifier
1679926513
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013754 Issued in MI
Legal business name
SUMMIT PHYSICAL THERAPY, PLLC
Practice address
72 S Washington St
Suite 106
Oxford, MI 48371-6421
Phone
(248) 460-1572
Fax
(248) 460-1573
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Mrs. Sarah Giroux, DPTNPI 1285808535
Title
Owner
Phone
(810) 922-4646

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501013754 MI Primary

Addresses

Primary practice location

72 S Washington St
Suite 106
Oxford, MI 48371-6421

Mailing address

72 S Washington St
Suite 106
Oxford, MI 48371-6421
Phone (248) 460-1572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160812001616 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608160627 Receives reassigned benefits from 8 practitioners
Practice locations: Oxford, MI

National Provider Directory

National Provider Directory

Locations

18 N Washington St
Ste A
Oxford, MI 48371
Phone (248) 460-1572

72 S Washington St
Ste 106
Oxford, MI 48371
Phone (248) 460-1572

Practitioners & affiliated clinicians

Practitioners 8

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": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1679926513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 S WASHINGTON ST",
            "address_2": "SUITE 106",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716421",
            "telephone_number": "248-460-1572",
            "fax_number": "248-460-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S WASHINGTON ST",
            "address_2": "SUITE 106",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716421",
            "telephone_number": "248-460-1572",
            "fax_number": "248-460-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "GIROUX",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-922-4646",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.