Family Fitness and Rehabilitation, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FAMILY FITNESS AND REHABILITATION, LLC

Practice address

122 S Morenci Ave Ste a
Mio, MI 48647-2508

Phone

(989) 826-6830

Fax

(989) 826-6860

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By 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

Becky L SullivanNPI 1760742167

Title

Resident Agent

Phone

(989) 826-6830

Specialties & licenses 1

Addresses

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.

• Becky Lynn Sullivan

  • Massage Therapist
  • Fairview, MI
  • NPI 1760742167
  NPD Authorized official

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1700212479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MORENCI AVE STE A",
            "address_2": "P.O. BOX 1032",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486472508",
            "telephone_number": "989-826-6830",
            "fax_number": "989-826-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MORENCI AVE STE A",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486472508",
            "telephone_number": "989-826-6830",
            "fax_number": "989-826-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FITNESS AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "989-826-6830"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Kay Alderton Pattullo Pointes North Counseling
• Brenda Lyn Easterling, MA, LPC
• Kris Kathleen Elliott
• Linda Esch, NP
• Every Little Piece Counseling PLLC
• Richard Daniel Graebner, R.PH
• Melanie Green, LMSW, LCSW, PSSWC
• Kaissidy Homolka, LMSW
• Kimberly Sue Hunter, D.C.
• Lisa Ann Joy, LLPC

• Physical Therapy Clinic/Center in Mio, MI
• Providers in Mio, 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 Sep 25, 2013; 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.