CENTRUM PHYSICAL THERAPY PC (NPI# 1154865046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154865046 |
Entity Type | Organization |
Organization Name | CENTRUM PHYSICAL THERAPY PC |
Practice Address |
1501 S Center Rd Building A Burton MI 48509-1731 |
Practice Telephone | 8107157746 |
Practice Fax Number | 8107157716 |
Mailing Telephone | 8107157746 |
Mailing Fax Number | 8107157716 |
Enumeration Date | 2016-12-12 |
Last Update Date | 2016-12-12 |
Authorized Official Name | MS. CHELSEA LEEANN ROLFE (BILLER) |
Authorized Official Telephone | 8107157746 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5501006027 | MI | Ambulatory Health Care Facilities |
Street Address |
1501 S CENTER RD BUILDING A |
City | BURTON |
State | MI |
Zip Code | 48509-1731 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518961879 | Khaled M Shukairy | Otolaryngology | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2005-06-02 |
1245881374 | Alanee Md Pllc | Urology | 1501 S Center Rd, Burton, MI 48509-1731 | 2019-09-20 |
1972155133 | Samir Basata Md PC | Urology | 1501 S Center Rd, Burton, MI 48509-1731 | 2019-07-09 |
1578061040 | Christine Marie Johnson | Physical Therapy Assistant | 1501 S Center Rd, Burton, MI 48509-1731 | 2018-01-30 |
1821532722 | Roger Villarin | Physical Therapist | 1501 S Center Rd, Building A, Burton, MI 48509-1731 | 2016-12-12 |
1093171191 | Samir Basata Md | Urology | 1501 S Center Rd, Building B, Burton, MI 48509-1731 | 2016-01-06 |
1144511312 | Genesee Ent Associates, PC | Hearing Aid Equipment | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2011-04-22 |
1548576259 | Shukairy Associates, LLC | Home Health | 1501 S Center Rd, Burton, MI 48509-1731 | 2010-08-19 |
1629305057 | Abdul Tabbaa Md PC | Urology | 1501 S Center Rd, Burton, MI 48509-1731 | 2009-11-05 |
1992032338 | Genesee Ent Associates PC | Audiologist-Hearing Aid Fitter | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2009-11-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
Find all providers in zip 48509 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659675346 | Nathan Michael Benjamin | Clinic/Center | 1235 S Center Rd Ste 12, Burton, MI 48509-1700 | 2011-01-10 |
1376576744 | Family Care Plus Physical Therapy & Wellness, LLC | Clinic/Center | G2037 S Center Rd, Suite A, Burton, MI 48519-1101 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
1700484482 | Redford Physical Therapy LLC | Clinic/Center | 25136 W 6 Mile Rd, Redford, MI 48240-2102 | 2020-10-14 |
1740894500 | Sara Sue Laisure | Clinic/Center | 1105 E 8th St, Traverse City, MI 49686-2936 | 2020-08-31 |
1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
1326650011 | Physical Therapy Center for Sports and Performing Arts, Pllc | Clinic/Center | 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 | 2020-08-23 |
1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
1114537719 | Axpert Rehab Care, LLC | Clinic/Center | 22830 Kelly Rd, Eastpointe, MI 48021-2072 | 2020-08-07 |
1619586898 | Right Health, PC | Clinic/Center | 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | 2020-07-23 |
1497378368 | Launch Pediatric Rehab | Clinic/Center | 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 | 2020-05-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.