Active NPI
Level Eleven Saginaw
- Physical Therapy Clinic/Center
- Saginaw, MI
National Provider Identifier
1720320583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- LEVEL ELEVEN SAGINAW
- Practice address
- 5815 Bay Rd
Suite 400
Saginaw, MI 48604-2542 - Phone
- (810) 771-7686
- NPI assigned
- Mar 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Wilson
- Title
- Credentialing Manager
- Phone
- (502) 272-3463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
5815 Bay Rd
Suite 400
Saginaw, MI 48604-2542
Mailing address
10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130626000602 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4981843703 |
Receives reassigned benefits from 25 practitioners Practice locations: Saginaw, MI |
National Provider Directory
National Provider Directory- Tax ID family
- Level Eleven Saginaw
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Saginaw, MI
- NPI 1164201679
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 29
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Saginaw, MI
- NPI 1285206482
MI, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1720320583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10483 DIXIE HWY",
"city": "HOLLY",
"state": "MI",
"postal_code": "484429311",
"telephone_number": "810-771-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 BAY RD",
"address_2": "SUITE 400",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042542",
"telephone_number": "810-771-7686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVEL ELEVEN SAGINAW",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-20",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "502-272-3463"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 26, 2023; 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.