Active Physical Therapy And Wellness Pc
LBN: Active Physical Therapy And Wellness Pc
Active Physical Therapy And Wellness Pc is an health care organization with primary practice located at 5430 S Saginaw Rd , Flint MI 48507-4464. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Active Physical Therapy And Wellness Pc can be contacted via phone (810) 694-1037, or through Bastarache, Ricky John via phone (810) 694-1037.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501007536 | Michigan |
Profile Details
| NPI number | 1205869880 |
|---|---|
| LBN Legal business name | Active Physical Therapy And Wellness Pc |
| DBA Doing business as | |
| Authorized official | Bastarache, Ricky John DPT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205869880 | NPPES |
| Michigan | MEDICAID | 4849415 |
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