NPIMap

Organization Active NPI

Community Physical Therapy & Rehab Center Inc.

  • Physical Therapy Clinic/Center
  • West Branch, MI
National Provider Identifier
1700924842
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COMMUNITY PHYSICAL THERAPY & REHAB CENTER INC.
Practice address
2388 W M 55
West Branch, MI 48661-9701
Phone
(989) 343-1099
Fax
(989) 343-1098
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Mr. Samuel Tabayoyong III, R.N. BSN
Title
Administrator
Phone
(989) 343-1099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2388 W M 55
West Branch, MI 48661-9701

Mailing address

23888 W M55
West Branch, MI 48661-9701
Phone (989) 343-1099

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1700924842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23888 W M55",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619701",
            "telephone_number": "989-343-1099",
            "fax_number": "989-343-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2388 W M 55",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619701",
            "telephone_number": "989-343-1099",
            "fax_number": "989-343-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICAL THERAPY & REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "TABAYOYONG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-343-1099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R.N. BSN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.