Orthopedic Physical Therapy Specialist Llc

LBN: Orthopedic Physical Therapy Specialist Llc
Orthopedic Physical Therapy Specialist Llc is an health care organization with primary practice located at 02957 73Rd St , South Haven MI 49090-9364. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Orthopedic Physical Therapy Specialist Llc can be contacted via phone (269) 637-9099, or through Frederick, Paul via phone (269) 637-9099.

Contact Information

Primary practice address
02957 73Rd St South Haven MI 49090-9364
Phone: (269) 637-9099
Fax: (269) 637-9224
Website:
Map and Directions
Authorized official contact:
Name: Frederick, Paul Physical Therapist (PT)
Phone: (269) 637-9099

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 5501011004 Michigan

Profile Details

NPI number 1407058209
LBN Legal business name Orthopedic Physical Therapy Specialist Llc
DBA Doing business as
Authorized official Frederick, Paul Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Mar 1st, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407058209 NPPES
Michigan MEDICAID 4800853-10

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