Ultimate Athlete Sports Rehabilitation & Performance Training

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ULTIMATE ATHLETE SPORTS REHABILITATION & PERFORMANCE TRAINING

Practice address

229 W Davisburg Rd
Holly, MI 48442-8660

Phone

(248) 459-3058

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Mike Perkins, ATC

Title

Owner

Phone

(248) 459-3058

Specialties & licenses 1

Addresses

Other names 1

• Ultimate Athlete Sports Performance & Training Center Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Perkins, ATC

  • Athletic Trainer
  • Auburn Hills, MI
  • NPI 1346606126
  NPD

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1902575988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W DAVISBURG RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W DAVISBURG RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428660",
            "telephone_number": "248-459-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE ATHLETE SPORTS REHABILITATION & PERFORMANCE TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-459-3058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultimate Athlete Sports Performance & Training Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ultimate Athlete Sports Performance & Training Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tributary Corporation
• Truharmony PLLC
• Kayla Marie Tubergen, OTD, OTR/L
• Erin Uehara
• Emily Marie Ulewicz, OTRL
• Unitycare Connections LLC
• Pankaj N Vakharia, M.D.
• Alexandra Vasile, DPT
• Veritas Medical Billing Specialist, LLC
• Village of Holly

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Holly, MI
• Providers in Holly, MI by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.