Organization Active NPI

Unique Surfaces LLC

  • Physical Therapy Clinic/Center
  • Jackson, MI
National Provider Identifier
1730437187
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Aug 16, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.