Trailside Harvest Health, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501004273 Issued in MI

Legal business name

TRAILSIDE HARVEST HEALTH, LLC

Practice address

1930 W Gunn Rd
Rochester, MI 48306-1565

Phone

(248) 651-8691

NPI assigned

Jun 2, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Janet McCormick, MPT, ND

Title

Sole Proprietor

Phone

(248) 651-8691

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1992099303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 W GUNN RD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061565",
            "telephone_number": "248-651-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 W GUNN RD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061565",
            "telephone_number": "248-651-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILSIDE HARVEST HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "248-651-8691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT, ND"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501004273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nicole Tocco, RBT-18-47768
• Kip N Toderan
• Martin Toma
• Michael Anthony Tonelli, CRNA
• Total Physical Therapy & Rehabilitation,Inc
• Michael T Tucciarone, M.D.
• Shardea Turney
• Emmylou E Tuttle, CRNA
• Twinsite Optical LLC
• Brian Gibbs Tyler, DDS

• Physical Therapy Clinic/Center in Rochester, MI
• Providers in Rochester, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.