Scolioasis, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501001826 Issued in MI

Legal business name

SCOLIOASIS, LLC

Practice address

8089 Main St Ste 3
Dexter, MI 48130-1079

Phone

(734) 253-2528

NPI assigned

Jan 7, 2010

Last updated

Feb 28, 2017By 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

Mrs. Jennie Birk Maynard, P.T.

Title

Physical Therapist

Phone

(734) 253-2528

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1841520111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8089 MAIN ST STE 3",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301079",
            "telephone_number": "734-253-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8089 MAIN ST STE 3",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301079",
            "telephone_number": "734-253-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLIOASIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "BIRK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "734-253-2528",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501001826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1316273857",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seema Sabbagh, DDS
• Sheryl Salutes
• Penny Louise Sanders, PT
• Sasco Dexter LLC (Dexter Pharmacy)
• Frederick E Schmid, PHARMACIST
• Theodore Samuel Scott, PHARMD
• Elena Segev, DNP
• Select Speech
• Serene Roots Therapy
• Shelby Foot & Ankle PLLC

• Physical Therapy Clinic/Center in Dexter, MI
• Providers in Dexter, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.