Organization Active NPI

Physical Therapy & Fitness Plus Inc.

  • Physical Therapist
  • Big Rapids, MI
National Provider Identifier
1972946291
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
550100276 Issued in MI
Legal business name
PHYSICAL THERAPY & FITNESS PLUS INC.
Practice address
15200 220TH Ave
Big Rapids, MI 49307-9233
Phone
(231) 592-0027
Fax
(231) 592-0723
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Mr. Jeffrey Lynn Thorne, P.T.
Title
Owner/ Physical Therapist
Phone
(231) 592-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 550100276 MI Primary

Addresses

Primary practice location

15200 220TH Ave
Big Rapids, MI 49307-9233

Mailing address

15200 220TH Ave
Big Rapids, MI 49307-9233
Phone (231) 592-0027

Other identifiers 2

IdentifierTypeStateIssuer
93480OtherMICOFINITY
0007705563OtherMIAETNA

Other names 1

  • PT Plus Doing business as

National Provider Directory

National Provider Directory

Locations

15200 220th Ave
Big Rapids, MI 49307
Phone (231) 527-9102

Practitioners & affiliated clinicians

Practitioners 3

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": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1972946291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 220TH AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079233",
            "telephone_number": "231-592-0027",
            "fax_number": "231-592-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 220TH AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079233",
            "telephone_number": "231-592-0027",
            "fax_number": "231-592-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & FITNESS PLUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "231-592-0027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "550100276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COFINITY",
            "identifier": "93480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007705563",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.