Downunder Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006866 Issued in MI

Legal business name

DOWNUNDER PHYSICAL THERAPY, LLC

Practice address

200 Summit Ave Ste C
Jackson, MI 49201-2473

Phone

(517) 783-9834

Fax

(517) 783-9837

NPI assigned

Jul 5, 2016

Last updated

Jul 5, 2016By 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

Cameron M Griffith

Title

Physical Therapist

Phone

(517) 745-3366

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1952753782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SUMMIT AVE STE C",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012473",
            "telephone_number": "517-783-9834",
            "fax_number": "517-783-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SUMMIT AVE STE C",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012473",
            "telephone_number": "517-783-9834",
            "fax_number": "517-783-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNUNDER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "517-745-3366"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.