Xcel Physical Therapy, PLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

XCEL PHYSICAL THERAPY, PLC

Practice address

351 S Straits Hwy
Indian River, MI 49749

Phone

(231) 238-2302

Fax

(231) 238-2303

NPI assigned

Oct 16, 2008

Last updated

Mar 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Lawrence Kolly, PT

Title

Owner, Physical Ther

Phone

(231) 238-2302

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erik Grangood, PTA

  • Physical Therapy Assistant
  • Indian River, MI
  • NPI 1992697635
  NPD
• Robin Lynne Feagan, P.T.

  • Physical Therapist
  • Indian River, MI
  • NPI 1528390689
  NPD (past)

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1750533246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 829",
            "address_2": "351 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "49749",
            "telephone_number": "231-238-2302",
            "fax_number": "231-238-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "49749",
            "telephone_number": "231-238-2302",
            "fax_number": "231-238-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCEL PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "KOLLY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THER",
        "authorized_official_telephone_number": "231-238-2302",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Louis Wetmore
• Susan Markey Whitener, MA LPC
• Tara Lee Williams
• Paula Marie Wilson, LPC
• Wimms Health Care
• Tom Zoyiopoulos

• Physical Therapist in Indian River, MI
• Providers in Indian River, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.