Munger Physical Therapy of Marysville, PLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MUNGER PHYSICAL THERAPY OF MARYSVILLE, PLC

Practice address

782 Huron Blvd Ste 4
Marysville, MI 48040-1499

Phone

(810) 385-7405

Fax

(810) 385-7420

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Judy Blake

Title

Billing Manager

Phone

(810) 385-7405

Specialties & licenses 1

Addresses

Other names 1

• MUNGER PHYSICAL THERAPY of Marysville Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• James Benjamin Achatz II, PT, MPT

  • Physical Therapist
  • Fort Gratiot, MI
  • NPI 1477864726
  Medicare reassignment Care Compare group NPD
• Thomas Vincent Dubay, PT, DPT

  • Orthopedic Physical Therapist
  • Marlette, MI
  • NPI 1225452170
  Medicare reassignment Care Compare group NPD
• Markus M Munger

  • Physical Therapist
  • Fort Gratiot, MI
  • NPI 1225219561
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1982386504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 24TH AVE STE 5",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594506",
            "telephone_number": "810-385-7405",
            "fax_number": "810-385-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 HURON BLVD STE 4",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401499",
            "telephone_number": "810-385-7405",
            "fax_number": "810-385-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNGER PHYSICAL THERAPY OF MARYSVILLE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "810-385-7405"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUNGER PHYSICAL THERAPY of Marysville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fadi Moosa, DDS
• Nicole Lynn Morgan
• Leah Moses
• Kyle Mountz
• Tyra S Mozes
• Talen Adalee Murphy
• Brooklyn Elizabeth Murray
• Caitlin Breanne Murray
• Hemalata A Nandi, M.D.
• Nasa Home Care

• Physical Medicine & Rehabilitation Physician in Marysville, MI
• Providers in Marysville, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.