Bay Area Physical Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501001919 Issued in MI

Legal business name

BAY AREA PHYSICAL THERAPY, LLC

Practice address

903 N Euclid Ave Ste 3
Bay City, MI 48706-2478

Phone

(989) 684-5009

Fax

(989) 684-6929

NPI assigned

Feb 23, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Dianne L Eckhout

Title

Office Manager

Phone

(989) 684-5009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1679965040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N EUCLID AVE STE 3",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062478",
            "telephone_number": "989-684-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N EUCLID AVE STE 3",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062478",
            "telephone_number": "989-684-5009",
            "fax_number": "989-684-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "ECKHOUT",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-684-5009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501001919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bay City, MI
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.