EVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP (NPI# 1962515809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962515809 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP |
| Practice Address |
158 North First Street Suite D Harrison MI 48625 |
| Mailing Address |
1300 W Sam Houston Pkwy S Suite 300 Houston TX 77042-2447 |
| Practice Telephone | 9895394167 |
| Practice Fax Number | 9895394436 |
| Mailing Telephone | 7132977000 |
| Mailing Fax Number | 7132977090 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JANNA P. KING (VP, AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7132977000 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840155 | Evergreen Physical Therapy Limited Partnership | Physical Therapist | 204 W Upton Ave, Reed City, MI 49677-1189 | 2017-09-12 |
| 1154647659 | Evergreen Physical Therapy Limited Partnership | Physical Therapist | 4082 Wilder Road, Bay City, MI 48706 | 2010-04-09 |
| 1558374280 | Evergreen Physical Therapy Limited Partnership | Clinic/Center | 1206 N State St, Gladwin, MI 48624-1246 | 2006-08-14 |
| 1033122718 | Evergreen Physical Therapy Limited Partnership | Physical Therapist | 2600 N Saginaw Rd, Suite C, Midland, MI 48640-2690 | 2006-08-14 |
| 1730126285 | Evergreen Physical Therapy Limited Partnership | Clinic/Center | 1268 Perry Ave, Big Rapids, MI 49307-2115 | 2006-06-01 |
| 1295740637 | Evergreen Physical Therapy Limited Partnership | Physical Therapist | 107 Schoolcrest Ave, Clare, MI 48617-1145 | 2006-07-31 |
| Street Address |
158 NORTH FIRST STREET SUITE D |
| City | HARRISON |
| State | MI |
| Zip Code | 48625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730679424 | Bobbiejo M Briggs | Licensed Practical Nurse | 6197 Maple Trail, Harrison, MI 48625 | 2018-05-17 |
| 1235653635 | Ashley Eileen Angerer-blunt | Social Worker | 789 North Clare Avenue, Po Box 817, Harrision, MI 48625 | 2017-07-28 |
| 1033651088 | Northern Star Transportation Inc. | Non-emergency Medical Transport (VAN) | 4036 Oak Flats Rd, Harrison, MI 48625 | 2016-11-08 |
| 1174748651 | Joni Marie Haley Ashcroft | Chiropractor | 190 S.second St., Harrison, MI 48625 | 2007-04-17 |
| 1003905241 | Bradley James Boulton | Chiropractor | 190 S Second St, Harrison, MI 48625 | 2006-10-12 |
| 1376643320 | Mitchell L. Mcmillan | Physical Therapist | 158 N 1st St, Suite D, Harrison, MI 48625 | 2006-09-22 |
| 1932208071 | Brooke W. Loucks | Physical Therapist | 158 North 1st Street, Suite D, Harrison, MI 48625 | 2006-09-22 |
| 1316982465 | United Rescue Service | Ambulance | 229 W Beech St, Harrison, MI 48625 | 2006-06-20 |
| 1699763979 | Stephen C Mcclintic | Optometrist | 444 South First St, Harrison, MI 48625 | 2005-10-11 |
| 1144694241 | Harrison Eye Care Plc | Clinic/Center | 444 S 1st St, Harrison, MI 48625-2500 | 2015-11-30 |
| Find all providers in zip 48625 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508191271 | Ortho Spine Care, LLC | Clinic/Center | 816 N Main St, Harrison, AR 72601-2915 | 2009-10-13 |
| 1467437087 | Mountaincrest Rehab Services | Clinic/Center | 816 N Main St, Harrison, AR 72601-2915 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
| 1700484482 | Redford Physical Therapy LLC | Clinic/Center | 25136 W 6 Mile Rd, Redford, MI 48240-2102 | 2020-10-14 |
| 1740894500 | Sara Sue Laisure | Clinic/Center | 1105 E 8th St, Traverse City, MI 49686-2936 | 2020-08-31 |
| 1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
| 1326650011 | Physical Therapy Center for Sports and Performing Arts, Pllc | Clinic/Center | 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 | 2020-08-23 |
| 1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1114537719 | Axpert Rehab Care, LLC | Clinic/Center | 22830 Kelly Rd, Eastpointe, MI 48021-2072 | 2020-08-07 |
| 1619586898 | Right Health, PC | Clinic/Center | 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | 2020-07-23 |
| 1497378368 | Launch Pediatric Rehab | Clinic/Center | 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
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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.