Michael R Beauvais PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MICHAEL R BEAUVAIS PLLC

Practice address

36341 Harper Ave
Clinton Township, MI 48035-2958

Phone

(586) 792-9190

Fax

(586) 792-0547

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Michael R Beauvais, PT

Title

Owner

Phone

(586) 792-9190

Specialties & licenses 1

Addresses

Other names 1

• MRB Physical Therapy & Consulting Other name

Locations

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801325410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36341 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352958",
            "telephone_number": "586-792-9190",
            "fax_number": "586-792-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36341 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352958",
            "telephone_number": "586-792-9190",
            "fax_number": "586-792-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R BEAUVAIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEAUVAIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-792-9190",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRB Physical Therapy & Consulting",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mi Interventional Pain and Regenerative Medicine
• Yasmin Begum Miah
• Maria Miaritis, DC
• Lauren Miazek
• Serena Esme Micciche, BEHAVIOR TECHNICIAN
• Michael Vredevoogd PC
• Michigan Center for Dermatology & Pathology, PLLC
• Michigan Foot & Ankle Institute PC
• Michigan Hospital Physicians, PC
• Michigan MSK Medicine PLLC

• Physical Therapist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.