Therapy Builders Resource Group, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERAPY BUILDERS RESOURCE GROUP, LLC

Practice address

629 Campbell Ave
Kalamazoo, MI 49006-3008

Phone

(269) 488-8344

Fax

(269) 488-2473

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Aloysius McKernan, ESQUIRE

Title

Ceo

Phone

(269) 488-8344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982815908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CAMPBELL AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063008",
            "telephone_number": "269-488-8344",
            "fax_number": "269-488-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 CAMPBELL AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063008",
            "telephone_number": "269-488-8344",
            "fax_number": "269-488-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY BUILDERS RESOURCE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALOYSIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-488-8344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Kalamazoo, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.