Active NPI
Unique Surfaces LLC
- Physical Therapy Clinic/Center
- Jackson, MI
National Provider Identifier
1730437187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- UNIQUE SURFACES LLC
- Doing business as
- Aerial Yoga Fitness Studio
- Practice address
- 654 Page Ave
Jackson, MI 49203-1943 - Phone
- (517) 788-8068
- Fax
- (517) 788-8058
- NPI assigned
- Aug 16, 2012
- 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
- Jo Anne Griffith
- Title
- Member
- Phone
- (517) 788-8068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
654 Page Ave
Jackson, MI 49203-1943
Mailing address
654 Page Ave
Jackson, MI 49203-1943
Phone (517) 788-8068
Other names 1
- Aerial Yoga Fitness Studio
National Provider Directory
National Provider DirectoryLocations
654 Page Ave
Jackson, MI 49203
Phone (517) 788-8068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345075200000",
"number": "1730437187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 PAGE AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492031943",
"telephone_number": "517-788-8068",
"fax_number": "517-788-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 PAGE AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492031943",
"telephone_number": "517-788-8068",
"fax_number": "517-788-8058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQUE SURFACES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A",
"authorized_official_last_name": "GRIFFITH",
"authorized_official_first_name": "JO",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "517-788-8068"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aerial Yoga Fitness Studio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.