Physiotherapy Associates Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIOTHERAPY ASSOCIATES INC

Practice address

1586 Wright Ave
Alma, MI 48801-1020

Phone

(989) 463-1705

Fax

(989) 463-5797

NPI assigned

Oct 4, 2006

Last updated

Jun 24, 2010By 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

Jayne Fleck-Pool

Title

Chief Compliance Officer

Phone

(469) 467-8705

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physiotherapy Associates Inc

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Livonia, MI
  • NPI 1023113925

  O20040223000292

  Same enrollment
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1255438487

  O20040223000292

  Same enrollment
• Physiotherapy Associates Inc

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Mason, MI
  • NPI 1326146077

  O20040223000292

  Same enrollment
• Physiotherapy Associates Inc

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Grand Ledge, MI
  • NPI 1932207321

  O20040223000292

  Same enrollment

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1902991185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COIT RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753768",
            "telephone_number": "469-467-8705",
            "fax_number": "267-321-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011020",
            "telephone_number": "989-463-1705",
            "fax_number": "989-463-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "FLECK-POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP PROVIDER NUMBER",
            "identifier": "6400940",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "30364",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HELATH PLUS PROVIDER NUMB",
            "identifier": "0998080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph David Peterson, M.D.
• Hailey Petterson
• Kaleigh Pettigrew
• Marsha Anne Phillips, LPC
• Lisa Ann Phipps, LBSW
• Sadee Rose Pierce
• James D Pilkington, MD
• David Anthony Piscitelli
• Stesie Clara Pizzi
• Tatym McKenzie Plath, PA-C

• Physical Therapy Clinic/Center in Alma, MI
• Providers in Alma, 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 Jun 24, 2010; 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.