Organization Active NPI

Central Michigan Rehabilitation, LLC

  • Physical Therapist
  • Mt Pleasant, MI
National Provider Identifier
1780775809
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009360 Issued in MI
Legal business name
CENTRAL MICHIGAN REHABILITATION, LLC
Practice address
1500 W. High Street
Mt. Pleasant, MI 48858
Phone
(989) 772-0258
Fax
(989) 953-4603
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Mr. Manish Bondale, PTNPI 1972533016
Title
Clinic Director/PT
Phone
(989) 772-0258

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 5501009360 MI Primary

Addresses

Primary practice location

1500 W. High Street
Mt. Pleasant, MI 48858

Mailing address

1500 W. High Street
Mt. Pleasant, MI 48858
Phone (989) 772-0258

Other identifiers 4

IdentifierTypeStateIssuer
30069OtherBCBSM
404983397MedicaidMI
4877G07MedicaidMI
00710460OtherMIBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415001342 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3274422985 Practice locations: East Lansing, MI; Saint Louis, MI; Midland, MI; Mount Pleasant, MI

National Provider Directory

National Provider Directory

Locations

726 Abbott Rd
East Lansing, MI 48823
Phone (517) 721-1865

2621 W Wackerly St
Ste G
Midland, MI 48640
Phone (989) 423-1176

310 W Michigan St
#2
Mount Pleasant, MI 48858
Phone (989) 772-0258

310 W Michigan St
Ste 2
Mt Pleasant, MI 48858
Phone (989) 772-0258

1500 W High St
Mt Pleasant, MI 48858
Phone (989) 772-0258

112 N Mill St
Saint Louis, MI 48880
Phone (989) 772-0285

Practitioners & affiliated clinicians

Practitioners 11

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1780775809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W. HIGH STREET",
            "city": "MT. PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-772-0258",
            "fax_number": "989-953-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W. HIGH STREET",
            "city": "MT. PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-772-0258",
            "fax_number": "989-953-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MICHIGAN REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "BONDALE",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/PT",
        "authorized_official_telephone_number": "989-772-0258",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "30069",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404983397",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4877G07",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00710460",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.