DERY PHYSICAL THERAPY SERVICES, PC (NPI# 1326184151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326184151 |
| Entity Type | Organization |
| Organization Name | DERY PHYSICAL THERAPY SERVICES, PC |
| Practice Address |
901 W Main St Suite A Lowell MI 49331-1581 |
| Practice Telephone | 6168977055 |
| Practice Fax Number | 6168977366 |
| Mailing Telephone | 6168977055 |
| Mailing Fax Number | 6168977366 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | MR. CASIMIR A KILYANEK (PRESIDENT) |
| Authorized Official Telephone | 6168977055 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCSBM NUMBER | 30732 | 01 |
| Street Address |
901 W MAIN ST SUITE A |
| City | LOWELL |
| State | MI |
| Zip Code | 49331-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699153361 | Alivio Corporation | Durable Medical Equipment & Medical Supplies | 901 W Main St, Suite C, Lowell, MI 49331-1581 | 2015-05-13 |
| 1225439987 | Ashley Nicole Vandenberg | Physical Therapist | 901 W Main St, Suite 1, Lowell, MI 49331-1581 | 2014-09-11 |
| 1649572900 | Jessica L Mcleod | Physical Therapist | 901 W Main St, Lowell, MI 49331-1581 | 2010-11-18 |
| 1255527164 | Diana M Painter | Physical Therapist | 901 W Main St, Lowell, MI 49331-1581 | 2007-09-25 |
| 1366588196 | Dery Rehabilitation Services, PC | Clinic/Center | 901 W Main St, Lowell, MI 49331-1503 | 2007-01-29 |
| 1396881132 | Casimir A Kilyanek | Physical Therapist | 901 W Main St, Lowell, MI 49331-1503 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295173771 | Heather Marie Jones | Optometrist | 915 W. Green St Ste 101, Hastings, MI 49331 | 2013-06-06 |
| 1841474012 | Mark Frederic Peterson I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3351 36th St, Grand Rapids, MI 49331 | 2007-12-24 |
| 1184732323 | Alivio Corporation | Durable Medical Equipment & Medical Supplies | 901 W. Main Street, Suite C, Lowell, MI 49331 | 2006-08-28 |
| 1740707637 | Parker Liu | Pharmacist | 11980 Fulton St E, Lowell, MI 49331 | 2017-08-23 |
| 1962482653 | Martin D Vredenburg | Dentist | 1150 N Hudson St, Lowell, MI 49331-1000 | 2006-01-19 |
| 1407140197 | Spectrum Health Primary Care Partners | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2011-05-31 |
| 1508034141 | Lowell Medical Specialists, PC | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2008-02-18 |
| 1740660315 | Patricia Sellner | Specialist/Technologist | 990 N Hudson St, Lowell, MI 49331-1006 | 2015-06-08 |
| 1508327370 | Lydia Joan Gerard | Registered Nurse | 1060 Hunt St, Lowell, MI 49331-1079 | 2019-03-26 |
| 1154847184 | Family Dentistry of Lowell | Dentist | 147 N Center St, Lowell, MI 49331-1207 | 2017-08-22 |
| Find all providers in zip 49331 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578090353 | Precise Physical Therapy Inc | Clinic/Center | 256 Westford St, Lowell, MA 01851-2544 | 2017-05-11 |
| 1699179606 | Neighborhood Physical Therapy 1 | Clinic/Center | 337 Westford St, Lowell, MA 01851-2519 | 2014-10-20 |
| 1093097743 | New Vision Rehabilitation Center Lowell | Clinic/Center | 173 Pine St, Lowell, MA 01851-3112 | 2011-09-19 |
| 1437371655 | Performance Physical Therapy, Inc. | Clinic/Center | 336 Westford St, Lowell, MA 01851-2528 | 2007-05-03 |
| 1972620169 | Physical Therapy & Rehabilitation Associates, Inc. | Clinic/Center | 16 Pine St Ste 5, Lowell, MA 01851-3100 | 2007-03-23 |
| 1831134014 | Therafit 1 At Riveredge, Inc | Clinic/Center | 176 Walker St, Lowell, MA 01854-3126 | 2006-06-19 |
| 1649745175 | Lowell Rehabilitation Center, Inc. | Clinic/Center | 77 E. Merrimack Street, Unit 4, Lowell, MA 01852 | 2018-10-11 |
| 1467834531 | New Energy Rehab Inc | Clinic/Center | 1275 Pawtucket Blvd, Unit # 2, Lowell, MA 01854-1070 | 2015-06-24 |
| 1215320668 | Middlesex Physical Therapy LLC | Clinic/Center | 716 Middlesex St, Unit 6, Lowell, MA 01851-1400 | 2015-03-10 |
| 1366588196 | Dery Rehabilitation Services, PC | Clinic/Center | 901 W Main St, Lowell, MI 49331-1503 | 2007-01-29 |
| Find all providers in LOWELL | ||||
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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.