ACTIVE PHYSICAL THERAPY AND WELLNESS PC (NPI# 1205869880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205869880 |
| Entity Type | Organization |
| Organization Name | ACTIVE PHYSICAL THERAPY AND WELLNESS PC |
| Practice Address |
5430 S Saginaw Rd Flint MI 48507-4464 |
| Practice Telephone | 8106941037 |
| Mailing Telephone | 8106941037 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICKY JOHN BASTARACHE (PRESIDENT) |
| Authorized Official Telephone | 8106941037 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501007536 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4849415 | 05 |
| Street Address |
5430 S SAGINAW RD |
| City | FLINT |
| State | MI |
| Zip Code | 48507-4464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391582 | Meghan Marie Riker | Physical Therapist | 1085 S Linden Rd Ste 1, Flint, MI 48532-3421 | 2018-10-01 |
| 1639661812 | Beth Anne Bodtker | Physical Therapist | G3346 Beecher Rd Ste B, Flint, MI 48532-3649 | 2018-06-04 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1982062477 | Anthony J Mcgee | Physical Therapist | 104 Maggie Cir, Flint, TX 75762-9464 | 2016-01-29 |
| 1285009597 | Mohammad Rafiq | Physical Therapist | 1289 S Linden Rd Ste A, Flint, MI 48532-3499 | 2015-12-11 |
| 1669852893 | Adams Physical Therapy and Rehabilitation, LLC | Physical Therapist | 3600 Miller Rd, Flint, MI 48503 | 2015-06-03 |
| 1346657863 | Stephen Rachel O'brien | Physical Therapist | 4250 N Saginaw St Ste C, Flint, MI 48505-5332 | 2014-07-16 |
| 1215353909 | Holistic Physical Therapy Center, LLC. | Physical Therapist | 1170 Charter Drive Suite C., Flint, MI 48532 | 2014-03-05 |
| 1225465495 | Infinity Wellness of Flint LLC | Physical Therapist | 2329 Stonebridge Dr, Bldg E, Flint, MI 48532-5407 | 2013-10-03 |
| 1376987222 | Renue 008 Flint LLC | Physical Therapist | 2129 S Linden Rd, Flint, MI 48532-4166 | 2013-04-23 |
| Find all providers in FLINT | ||||
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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.