Organization Active NPI

Harbor Springs Therapy and Wellness

  • Physical Therapist
  • Harbor Springs, MI
National Provider Identifier
1770959728
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011595 Issued in MI
Legal business name
HARBOR SPRINGS THERAPY AND WELLNESS
Practice address
3277 Needles Dr
Harbor Springs, MI 49740-8796
Phone
(231) 838-2087
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Damon Craig Whitfield, PTNPI 1568505972
Title
Owner
Phone
(231) 838-2087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501011595 MI Primary

Addresses

Primary practice location

3277 Needles Dr
Harbor Springs, MI 49740-8796

Mailing address

3277 Needles Dr
Harbor Springs, MI 49740-8796
Phone (231) 838-2087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151023001621 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254640758 Receives reassigned benefits from 1 practitioner
Practice locations: Harbor Springs, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1770959728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 NEEDLES DR",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497408796",
            "telephone_number": "231-838-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 NEEDLES DR",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497408796",
            "telephone_number": "231-838-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR SPRINGS THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-838-2087",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.

Verify at the official NPI Registry.