Timothy Francis Rourke, DPT
Individual provider Active NPI Physical Therapist · Ovid, MI
NPI 1962746602 · NPPES record last updated Nov 19, 2012
Key facts
- NPI
- 1962746602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501011539 (MI)
- Practice address
- 9480 E M 21
Ovid, MI 48866 - Phone
- (989) 834-0014
- NPI assigned
- Nov 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max Well Therapy L.L.C. | Physical Therapist | Past | Accepting new patients |
| Max Well Therapy LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011539 | MI | Yes |
Addresses
Primary practice location
9480 E M 21
Ovid, MI 48866
Mailing address
527 Sharon Drive
Flushing, MI 48433
Phone (810) 659-6552
Other providers in Ovid, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.