Organization Active NPI

Resilient Physical Therapy

  • Physical Therapy Clinic/Center
  • East Lansing, MI
National Provider Identifier
1962264762
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESILIENT PHYSICAL THERAPY
Practice address
1420 Basswood CT
East Lansing, MI 48823-1818
Phone
(517) 525-0014
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Dr. Brooke Cummings, PT, DPTNPI 1174755177
Title
Owner
Phone
(517) 525-0014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1420 Basswood CT
East Lansing, MI 48823-1818

Mailing address

1420 Basswood CT
East Lansing, MI 48823-1818
Phone (151) 752-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240710004787 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214472596 Receives reassigned benefits from 4 practitioners
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

1028 Trowbridge Rd
East Lansing, MI 48823
Phone (517) 295-0246

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1962264762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 BASSWOOD CT",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231818",
            "telephone_number": "151-752-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BASSWOOD CT",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231818",
            "telephone_number": "517-525-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-525-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.