Active Physical Therapy And Wellness Pc in Flint - Physical Therapist
Active Physical Therapy And Wellness Pc - NPI 1205869880
Active Physical Therapy And Wellness Pc is a Physical Therapist in Flint, Michigan. Active Physical Therapy And Wellness Pc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Active Physical Therapy And Wellness Pc is 1205869880. The last update date is 2020-08-22.
Active Physical Therapy And Wellness Pc's current location address is 5430 S Saginaw Rd, Flint, Michigan. You can contact this provider via phone number 8106941037. The mailing address for Active Physical Therapy And Wellness Pc is 5430 S Saginaw Rd, Flint, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Physical Therapy And Wellness Pc |
|---|---|
| Address | 5430 S Saginaw Rd, Flint, Michigan |
| Phone Number | 8106941037 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bastarache John Ricky |
| Credentials | DPT |
| Telephone Number | 8106941037 |
NPI Number Detail
| NPI Number | 1205869880 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5430 S Saginaw Rd |
|---|---|
| City | Flint |
| State | Michigan (MI) |
| Post Code | 485074464 |
| Phone Number | 8106941037 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5501007536 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4849415 | MI | -- |
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What is the unique 10-digit identification code issued to Active Physical Therapy And Wellness Pc by the Centers for Medicare & Medicaid Services?
The Active Physical Therapy And Wellness Pc has been assigned the NPI (National Provider Identifier) 1205869880 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Active Physical Therapy And Wellness Pc located?
The Active Physical Therapy And Wellness Pc is located at 5430 S Saginaw Rd, Flint, MI 485074464.
What is Active Physical Therapy And Wellness Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Active Physical Therapy And Wellness Pc is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date was the 1205869880 assigned to Active Physical Therapy And Wellness Pc?
The Active Physical Therapy And Wellness Pc was issued its 1205869880 on 2006-07-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Active Physical Therapy And Wellness Pc last refreshed?
The information related to the Active Physical Therapy And Wellness Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.