Michiana Therapy Services Incorporated

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MICHIANA THERAPY SERVICES INCORPORATED

Practice address

1850 Pipestone Rd
Benton Harbor, MI 49022-2334

Phone

(269) 925-9491

Fax

(269) 925-9553

NPI assigned

Jan 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Hernandez Espiritu, PT

Title

President

Phone

(269) 925-9491

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orthopedic and Sports Physical Therapy Doing business as

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

{
    "created_epoch": "1262390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284249600000",
    "number": "1861722548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 HASS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466352042",
            "telephone_number": "574-289-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 PIPESTONE RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222334",
            "telephone_number": "269-925-9491",
            "fax_number": "269-925-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA THERAPY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-02",
        "last_updated": "2010-09-12",
        "status": "A",
        "authorized_official_last_name": "ESPIRITU",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "HERNANDEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-925-9491",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER (PTAN)",
            "identifier": "MI2570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic and Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Mendoza
• Mercy Health Clinic
• Corvetta Meridy
• Shamika N Meridy
• Emily A Mertz
• Jonshequa Mickie
• Lauren Elise Midkiff, LLBSW
• Midtown Family Practice
• Midtown Family Practice, PLC
• Daniel Milard

• Physical Therapy Clinic/Center in Benton Harbor, MI
• Providers in Benton Harbor, 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 Sep 12, 2010; 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.