1St Choice Physical Therapy Troy, LLC
Organization Active NPI Physical Therapist · Troy, MI
NPI 1962690149 · NPPES record last updated Oct 12, 2007
Key facts
- NPI
- 1962690149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501001577 (MI)
- Legal business name
- 1ST CHOICE PHYSICAL THERAPY TROY, LLC
- Practice address
- 3144 John R Rd
Suite 200
Troy, MI 48083-5930 - Phone
- (313) 492-4293
- NPI assigned
- Oct 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Peter R Kovacek, PT
- Title
- Member
- Phone
- (313) 492-4293
Practitioners 25
-
Todd Michael Cummings, PT OMPT
-
Garrett Emerick, DPT
-
Marissa J Ogboh, DPT
-
Kevin Chen, DPT
-
Jacob Gallucci, PT
-
Anna Katharine Inoue, DPT
-
Carter Kovalcik, PT
-
Christy Moza, PT
-
Tonya L Potts, DPT
-
Grace E Wallace, DPT
-
Michael Wei Wang, PT
-
Alex M Koszalinski, DPT
-
Julie Davis, P.T.
-
Tyler Maddock, PTA
-
Julie Marie Martel, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080119000018 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7911088604 |
Receives reassigned benefits from 21 practitioners Practice locations: Troy, MI |
National Provider Directory
Locations
3144 John R Rd
Ste 200
Troy, MI 48083
Phone (248) 743-0850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 5501001577 | MI | Yes |
Addresses
Primary practice location
3144 John R Rd
Suite 200
Troy, MI 48083-5930
Mailing address
3144 John R Rd
Suite 200
Troy, MI 48083-5930
Phone (313) 492-4293
Other names
- 1st Choice Physical Therapy
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.