Organization Active NPI

RX Physical Therapy PLC

  • Physical Therapy Clinic/Center
  • Benton Harbor, MI
National Provider Identifier
1851821813
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
E7604K Issued in MI
Legal business name
RX PHYSICAL THERAPY PLC
Practice address
501 Graham Ave
Benton Harbor, MI 49022-3626
Phone
(574) 850-6638
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Kensey Case BerminghamNPI 1144564881
Title
Owner
Phone
(574) 850-6638

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 Therapy Clinic/Center 261QP2000X E7604K MI Primary

Addresses

Primary practice location

501 Graham Ave
Benton Harbor, MI 49022-3626

Mailing address

2336 Westchester LN
Kalamazoo, MI 49008-2366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170905001746 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759654221 Receives reassigned benefits from 7 practitioners
Practice locations: Benton Harbor, MI; Stevensville, MI

National Provider Directory

National Provider Directory

Locations

5926 Cleveland Ave
Stevensville, MI 49127
Phone (269) 769-6108

Practitioners & affiliated clinicians

Practitioners 8

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": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1851821813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 WESTCHESTER LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GRAHAM AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223626",
            "telephone_number": "574-850-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "BERMINGHAM",
        "authorized_official_first_name": "KENSEY",
        "authorized_official_middle_name": "CASE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-850-6638"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "E7604K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.