PHYSIOTHERAPY ASSOCIATES INC (NPI# 1629097910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629097910 |
| Entity Type | Organization |
| Organization Name | PHYSIOTHERAPY ASSOCIATES INC |
| Practice Address |
5659 Stadium Dr Suite 1 Kalamazoo MI 49009-1932 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2693759450 |
| Practice Fax Number | 2693759465 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-11-12 |
| Authorized Official Name | MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PROVIDER NUMBER | 30609 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659746766 | Physiotherapy Associates Inc | Clinic/Center | 3111 Gordon Dr, Sioux City, IA 51105-3730 | 2015-12-01 |
| 1962876060 | Physiotherapy Associates Inc | Clinic/Center | 1409 Veterans Dr., Suite 102, Omaha, NE 68023 | 2015-11-30 |
| 1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
| 1396122529 | Physiotherapy Associates Inc | Clinic/Center | 95 Grand Heron Drive, Panama City Beach, FL 32407-2549 | 2015-04-27 |
| 1649608829 | Physiotherapy Associates Inc | Clinic/Center | 7001 E Williams Field Rd, Mesa, AZ 85212-6032 | 2013-10-24 |
| 1801189121 | Physiotherapy Associates Inc | Clinic/Center | 1739 Allen St, Springfield, MA 01118-1805 | 2011-05-19 |
| 1740439694 | Physiotherapy Associates Inc | Clinic/Center | 223 Elk Avenue, Suite 201, Crested Butte, CO 81224 | 2008-09-16 |
| 1720236300 | Physiotherapy Associates Inc | Clinic/Center | 9325 Dorchester St, Ste 127, Highlands Ranch, CO 80129-2520 | 2008-09-08 |
| 1518113547 | Physiotherapy Associates Inc | Clinic/Center | 4877 Highway 589, Sumrall, MS 39482-0152 | 2008-08-11 |
| 1104085240 | Physiotherapy Associates Inc | Clinic/Center | 511 West Alexander Street, Plant City, FL 33563-7163 | 2008-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Physiotherapy Associates Inc. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Virginia Business Entities | PHYSIOTHERAPY ASSOCIATES INC. | 4714 Gettysburg Rd, Mechanicsburg, Pennsylvania 17055-4325 |
| Street Address |
5659 STADIUM DR SUITE 1 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740774587 | Elizabeth Valade | Speech-Language Pathologist | 5659 Stadium Dr, Kalamazoo, MI 49009-1932 | 2018-06-15 |
| 1447757042 | Michele Marie Vander Beek | Occupational Therapist | 5659 Stadium Dr, Kalamazoo, MI 49009-1932 | 2018-04-10 |
| 1659806636 | Rebecca Dehart | Occupational Therapist | 5659 Stadium Dr, Kalamazoo, MI 49009-1932 | 2017-04-27 |
| 1326580192 | Lois Vantuinen | Physical Therapy Assistant | 5659 Stadium Dr, Suite 1, Kalamazoo, MI 49009-1932 | 2016-11-10 |
| 1588111967 | Margaret Freeman | Speech-Language Pathologist | 5659 Stadium Dr, Suite 2, Kalamazoo, MI 49009-1932 | 2016-09-02 |
| 1811347669 | Gwendolyn Wild | Occupational Therapist | 5659 Stadium Dr, Kalamazoo, MI 49009-1932 | 2016-06-13 |
| 1356712798 | Lisa Vandermolen | Physical Therapist | 5659 Stadium Dr, Kalamazoo, MI 49009-1932 | 2015-10-12 |
| 1982071551 | Cailee Bartow | Physical Therapist | 5659 Stadium Dr, Suite 1, Kalamazoo, MI 49009-1932 | 2015-08-30 |
| 1598165011 | Meghan Early | Speech-Language Pathologist | 5659 Stadium Dr, Kalamazoo, MI 49009-1932 | 2014-09-03 |
| 1417360728 | Brooke Lynn Drummer | Occupational Therapist | 5659 Stadium Dr, Kalamazoo, MI 49009-1932 | 2014-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457424 | Western Michigan University Sports Medicine Clinic | Clinic/Center | 886 Gilkison Ave, Kalamazoo, MI 49008-5445 | 2006-05-23 |
| 1760637771 | Physiotherapy Associates Inc | Clinic/Center | 5659 Stadium Dr, Suite 2, Kalamazoo, MI 49009-1932 | 2008-11-19 |
| 1073600490 | Physiotherapy Associates Inc | Clinic/Center | 1820 Shaffer St, Ste B, Kalamazoo, MI 49048-1656 | 2006-10-06 |
| 1205945359 | Physiotherapy Associates Inc | Clinic/Center | 6565 W Main St, Suite 101, Kalamazoo, MI 49009-9144 | 2006-08-30 |
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| 1013566199 | J.l Hunt Therapeutics | Clinic/Center | 43700 Woodward Ave Ste 108, Bloomfield Hills, MI 48302-5060 | 2019-09-10 |
| 1548828502 | Chsc Inc | Clinic/Center | 10125 W 8 Mile Rd, Detroit, MI 48221-1004 | 2019-06-04 |
| 1427521723 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3951 W Milham Ave, Portage, MI 49024-1088 | 2019-01-09 |
| 1366934184 | Rehabcare Group East, LLC | Clinic/Center | 1300 N Telegraph Rd, Dearborn, MI 48128-1204 | 2018-06-06 |
| 1902305048 | Nrmi, LLC | Clinic/Center | 14461 E 11 Mile Rd, Warren, MI 48088-4886 | 2018-02-05 |
| 1194230888 | Blue Water Speech Therapy | Clinic/Center | 7950 Caberfae Trl, Clarkston, MI 48348-3707 | 2017-12-05 |
| 1093236291 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1620 S Mission St Ste O, Mt Pleasant, MI 48858-4466 | 2017-06-28 |
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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.