LONGEVITY RESTORATIVE REHABILITATION SERVICES, LLC (NPI# 1578796363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578796363 |
| Entity Type | Organization |
| Organization Name | LONGEVITY RESTORATIVE REHABILITATION SERVICES, LLC |
| Practice Address |
137 E Laketon Ave Muskegon MI 49442-5507 |
| Practice Telephone | 2317284102 |
| Practice Fax Number | 2317220800 |
| Mailing Telephone | 2317284102 |
| Mailing Fax Number | 2317220800 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-10-06 |
| Authorized Official Name | JIMMIE JAMES ANTHONY (PRESIDENT) |
| Authorized Official Telephone | 2317284102 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501007594 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
137 E LAKETON AVE |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376604389 | Lakeshore Rehabilitation Center PC | Physical Therapist | 137 E Laketon Ave, Muskegon, MI 49442-5507 | 2006-12-13 |
| 1780878561 | Jimmie James Anthony | Physical Therapist | 137 E Laketon Ave, Muskegon, MI 49442-5507 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| 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 |
|---|---|---|---|---|
| 1669031456 | Rilie Nicole Du Shane | Physical Therapist | 6022 Harvey St Ste H, Muskegon, MI 49444-8802 | 2019-06-06 |
| 1215438932 | Christine Beach | Physical Therapist | 1500 E Sherman Blvd Ste 125, Muskegon, MI 49444-1849 | 2018-02-27 |
| 1538472279 | Pro Motion Therapy, LLC | Physical Therapist | 885 Oakridge Rd, Muskegon, MI 49441-4023 | 2010-07-22 |
| 1982939633 | Jamie Sue Bennett | Physical Therapist | 2073 Holton Rd, Muskegon, MI 49445-1535 | 2009-10-14 |
| 1164666764 | Ronda Gail Chapman | Physical Therapist | 1380 E Sherman Blvd Ste B, Muskegon, MI 49444-1814 | 2009-04-27 |
| 1679743892 | Linda M Vandyke | Physical Therapist | 1471 Getz Rd, Muskegon, MI 49441-5725 | 2008-03-04 |
| 1205038759 | Ann Louise-tardani Rennells | Physical Therapist | 885 Oak Ridge Rd, Muskegon, MI 49441-4023 | 2007-06-05 |
| 1376604389 | Lakeshore Rehabilitation Center PC | Physical Therapist | 137 E Laketon Ave, Muskegon, MI 49442-5507 | 2006-12-13 |
| 1457447039 | Daniel A Conklin | Physical Therapist | 955 W Norton Avenue, Muskegon, MI 49441-1848 | 2006-10-04 |
| 1891898763 | Randall R Prince | Physical Therapist | 2045 Holton Rd, Muskegon, MI 49445-1535 | 2006-09-06 |
| Find all providers in MUSKEGON | ||||
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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.