PHYSICAL THERAPY & PAIN CLINIC,INC (NPI# 1548347230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548347230 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY & PAIN CLINIC,INC |
| Other Organization Name | AQUATICARE P.T |
| Practice Address |
15501 Metropolitan Pkwy Suite 102 Clinton Twp MI 48036-1684 |
| Practice Telephone | 5862287000 |
| Practice Fax Number | 5862287007 |
| Mailing Telephone | 5862287000 |
| Mailing Fax Number | 5862287007 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-03-30 |
| Authorized Official Name | CHRISTAL MARIE PIESKO (ADMINISTRATOR) |
| Authorized Official Telephone | 5862287000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| AquatiCare P.T | Doing Business As Name - Organization |
| Street Address |
15501 METROPOLITAN PKWY SUITE 102 |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48036-1684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700827813 | Robert H Amsler | Specialist | 15501 Metropolitan Pkwy, Ste 110, Clinton Twp, MI 48036-1684 | 2006-06-09 |
| 1922337815 | Mary E. Nasir | Physical Therapy Assistant | 15501 Metropolitan Pkwy, Suite 102, Clinton Twp, MI 48036-1684 | 2009-12-23 |
| 1770733867 | Michael Arthur Merz | Psychologist | 15501 Metropolitan Pkwy, Suite107, Clinton Twp, MI 48036-1684 | 2008-09-24 |
| 1801084629 | Keith C Mckenzie Md Pllc | Family Medicine | 15501 Metropolitan Pkwy, Suite 110, Clinton Twp, MI 48036-1684 | 2007-10-05 |
| 1801975420 | Charlene Bailey | Physician Assistant | 15501 Metropolitan Pkwy, Ste110, Clinton Twp, MI 48036-1684 | 2006-11-03 |
| 1861597858 | Claudia Monica Pop | Family Medicine | 15501 Metropolitan Pkwy, Ste 110, Clinton Twp, MI 48036-1684 | 2006-09-14 |
| 1801830757 | Keith Creswell Mckenzie | Family Medicine | 15501 Metropolitan Pkwy, Ste 110, Clinton Twp, MI 48036-1684 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427254788 | William Weeden | Specialist | 24259 Sorrentino Ct, Clinton Twp, MI 48035-3237 | 2007-06-25 |
| 1962422279 | Leandro F Africa | Specialist | 43361 Commons Dr, Clinton Twp, MI 48038-1109 | 2006-07-20 |
| 1700827813 | Robert H Amsler | Specialist | 15501 Metropolitan Pkwy, Ste 110, Clinton Twp, MI 48036-1684 | 2006-06-09 |
| 1740277425 | Mark L Goldberger | Specialist | 43475 Dalcoma Dr, Ste. 100, Clinton Twp, MI 48038-3591 | 2005-09-29 |
| 1679834097 | John Alexander Frith | Specialist | 42607 Garfield Rd, Clinton Twp, MI 48038-1653 | 2012-06-01 |
| 1275814915 | Neurosurgery Group, P.C. | Specialist | 43650 Garfield Rd, Clinton Twp, MI 48038-6332 | 2011-09-08 |
| 1164662243 | Zef Lucaj Md PC | Specialist | 15945 19 Mile Rd, Suite 106, Clinton Twp, MI 48038-1147 | 2009-03-02 |
| 1609012780 | Christina Marie Evans | Specialist | 35746 Harper Ave, Clinton Twp, MI 48035-3212 | 2008-12-19 |
| 1780853267 | Rodoljub Dimitrijevic Md PC | Specialist | 43421 Garfield Rd, Suite 1, Clinton Twp, MI 48038-1133 | 2008-02-28 |
| 1942406202 | Edwynn Bryant | Specialist | 24259 Sorrentino Ct, Clinton Twp, MI 48035-3237 | 2007-06-25 |
| Find all providers in CLINTON TWP | ||||
| City | CLINTON TWP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on PHYSICAL THERAPY & PAIN CLINIC,INC.
| 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.