Organization Active NPI

Valley Physical Therapy Pain Clinic & Rehab Inc

  • Physical Therapist
  • Saginaw, MI
National Provider Identifier
1689616161
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VALLEY PHYSICAL THERAPY PAIN CLINIC & REHAB INC
Practice address
138 Harrow LN Ste 2
Saginaw, MI 48638-6061
Phone
(989) 497-0726
Fax
(989) 401-7502
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Mr. Abdul MajeedNPI 1629943709
Title
Administrator
Phone
(989) 497-0726

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 Primary

Addresses

Primary practice location

138 Harrow LN Ste 2
Saginaw, MI 48638-6061

Mailing address

138 Harrow LN Ste 2
Saginaw, MI 48638-6061
Phone (989) 497-0726

Other identifiers 1

IdentifierTypeStateIssuer
404679880MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251113002771 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729998505 Receives reassigned benefits from 1 practitioner
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

138 Harrow Ln
Ste 2
Saginaw, MI 48638
Phone (989) 401-7501

Practitioners & affiliated clinicians

Practitioners 1

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1689616161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HARROW LN STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386061",
            "telephone_number": "989-497-0726",
            "fax_number": "989-401-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HARROW LN STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386061",
            "telephone_number": "989-497-0726",
            "fax_number": "989-401-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICAL THERAPY PAIN CLINIC & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "MAJEED",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-497-0726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404679880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.