Jon Fibeger, MASTERS
Individual provider Active NPI Physical Therapist · Beverly Hills, MI
NPI 1831230705 · NPPES record last updated May 30, 2008
Key facts
- NPI
- 1831230705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070014257 (IL)
- Practice address
- 31000 Lahser Rd
Suite 1
Beverly Hills, MI 48025-4847 - Phone
- (248) 290-2440
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070014257 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070014257 | IL | Yes |
Addresses
Primary practice location
31000 Lahser Rd
Suite 1
Beverly Hills, MI 48025-4847
Mailing address
31000 Lahser Rd
Suite 1
Beverly Hills, MI 48025-4847
Phone (248) 290-2440
Other providers in Beverly Hills, MI
- Robert Arthur Ellwood
- Endocrinology Center PC
- Everyday Living Nutrition
- Family First Chiropractic Care
- Jennifer Lauren Fantich
- Lisa Ann Findling
- Sarah Anne Forgach I
- Frank Yono, M.D., P.C.
- Gary W Docks DPM PLLC
- Courtney Gasper
All providers in Beverly Hills, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.