Advanced Downtown Aquatic Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

B2267W Issued in MI

Legal business name

ADVANCED DOWNTOWN AQUATIC PHYSICAL THERAPY, LLC

Practice address

105 W Houghton Ave
West Branch, MI 48661-1286

Phone

(989) 343-9755

Fax

(989) 343-9955

NPI assigned

Feb 9, 2016

Last updated

Mar 6, 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

Sharon Isaac

Title

Manager

Phone

(989) 343-9755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• Theresa Ann Cummings, OTR

  • Occupational Therapist
  • West Branch, MI
  • NPI 1477881589
  Medicare reassignment Care Compare group
• Heide Morgan, PT

  • Physical Therapist
  • West Branch, MI
  • NPI 1528465648
  Medicare reassignment Care Compare group
• Christopher Sakala, P.T.

  • Physical Therapist
  • Mt Pleasant, MI
  • NPI 1043387038
  Medicare reassignment
• Coronel Einna-Ernest Lopez, DPT

  • Physical Therapist
  • Mishawaka, IN
  • NPI 1013252089

  MI

  Medicare reassignment
• Paul Bhupal Chandanshive, P.T

  • Physical Therapist
  • West Branch, MI
  • NPI 1063929842
  NPD (past)

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1861850547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611286",
            "telephone_number": "989-343-9755",
            "fax_number": "989-343-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611286",
            "telephone_number": "989-343-9755",
            "fax_number": "989-343-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DOWNTOWN AQUATIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-343-9755"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "B2267W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Adams, PHARMD
• Shreedhar Adhikari, MD
• Hassan Ahmad, M.D
• Oluseyi Alalade
• Allan J Baker DDS PLLC
• Bridgette Marie Allen, LMT
• Ashley Ann Alvord, NP

• Physical Therapy Clinic/Center in West Branch, MI
• Providers in West Branch, 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 Mar 6, 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.