Supplemental Health Care

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5502002339 Issued in MI

Legal business name

SUPPLEMENTAL HEALTH CARE

Practice address

32254 Beacon LN
Fraser, MI 48026-2162

Phone

(586) 296-5532

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Aris Woodroofe

Title

Recurting Manager

Phone

(888) 414-7056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1720303365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32254 BEACON LN",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262162",
            "telephone_number": "586-296-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32254 BEACON LN",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262162",
            "telephone_number": "586-296-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "WOODROOFE",
        "authorized_official_first_name": "ARIS",
        "authorized_official_title_or_position": "RECURTING MANAGER",
        "authorized_official_telephone_number": "888-414-7056",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5502002339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Marie Spence
• John W. Staszel, D.O.
• Mark Andrew Stefani, OD
• Leah Stefanou
• Susan Anderson Styf, LMSW
• Elizabeth Sutherland, MD
• SVS Vision Inc
• Robert James Swedo, MD
• Joseph Tan, M.D.
• Charmaine Tate

• Physical Therapy Clinic/Center in Fraser, MI
• Providers in Fraser, 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 Apr 6, 2010; 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.