Organization Active NPI

Core Complete

  • Orthopedic Physical Therapist
  • Portage, MI
National Provider Identifier
1699423095
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
CORE COMPLETE
Practice address
6051 Constitution Blvd Ste B
Portage, MI 49024-1613
Phone
(269) 270-3501
Fax
(269) 270-3502
NPI assigned
Mar 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Neal McCrum, PTNPI 1215030556
Title
Physical Therapist
Phone
(269) 270-3501

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

6051 Constitution Blvd Ste B
Portage, MI 49024-1613

Mailing address

6051 Constitution Blvd Ste B
Portage, MI 49024-1613
Phone (269) 270-3501

National Provider Directory

National Provider Directory

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": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1699423095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 CONSTITUTION BLVD STE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241613",
            "telephone_number": "269-270-3501",
            "fax_number": "269-270-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 CONSTITUTION BLVD STE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241613",
            "telephone_number": "269-270-3501",
            "fax_number": "269-270-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE COMPLETE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "MCCRUM",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "269-270-3501",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.