Great Lakes Therapy At Orchard Creek Campus
LBN: Great Lakes Therapy At Orchard Creek Campus
Great Lakes Therapy At Orchard Creek Campus is an health care organization with primary practice located at 1650 Barlow St , Traverse City MI 49686-4721. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Great Lakes Therapy At Orchard Creek Campus can be contacted via phone (231) 941-3100, or through Harvey, James A via phone (231) 642-6166.
Contact Information
Primary practice address
1650 Barlow St
Traverse City MI 49686-4721
Phone: (231) 941-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1952635302 |
|---|---|
| LBN Legal business name | Great Lakes Therapy At Orchard Creek Campus |
| DBA Doing business as | |
| Authorized official | Harvey, James A MSPT |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 1st, 2009 |
| Last updated | Oct 1st, 2009 - about 16 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 | 1952635302 | NPPES |
| Michigan | Other | 0N83550 | MEDICARE GROUP |
| Michigan | Other | 0N86360 | MEDICARE GROUP |
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