Midland Physical Therapy Sports Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIDLAND PHYSICAL THERAPY SPORTS REHAB

Practice address

4710 Eastman Ave
Midland, MI 48640-2606

Phone

(989) 341-1070

Fax

(989) 341-1072

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By 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

Jeffery Berard, DC

Title

Owner

Phone

(989) 341-1070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Tucker Berard, B.A., D.C

  • Chiropractor
  • Plantation, FL
  • NPI 1255462099
  NPD (past)

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1851764666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402606",
            "telephone_number": "989-341-1070",
            "fax_number": "989-341-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402606",
            "telephone_number": "989-341-1070",
            "fax_number": "989-341-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND PHYSICAL THERAPY SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "BERARD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-341-1070",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midland Opco, LLC (Medilodge of Midland)
• Midland Oral & Maxillofacial Surgery P.C.
• Midland Pathology Associates, PC
• Midland Pharmacy LLC (midland pharmacy)
• Midland Physical Therapy Inc.
• Midland Podiatry Associates PLLC
• Midland Radiology Associates PC
• Midland Surgical Group PC
• Midmichigan Audiology Services Inc
• Midmichigan Cardiology

• Physical Therapist in Midland, MI
• Providers in Midland, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.