Northern Michigan Sports Medicine Center in Petoskey - Physical Therapy
Northern Michigan Sports Medicine Center - NPI 1538123906
Northern Michigan Sports Medicine Center is a Physical Therapy in Petoskey, Michigan. Northern Michigan Sports Medicine Center practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Northern Michigan Sports Medicine Center is 1538123906. The last update date is 2020-08-22.
Northern Michigan Sports Medicine Center's current location address is 4048 Cedar Bluff Dr, Petoskey, Michigan. You can contact this provider via phone number 2313479300 and fax number 2313471613. The mailing address for Northern Michigan Sports Medicine Center is 4048 Cedar Bluff Dr, Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern Michigan Sports Medicine Center |
|---|---|
| Address | 4048 Cedar Bluff Dr, Petoskey, Michigan |
| Phone Number | 2313479300 |
| Fax Number | 2313471613 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Smith E Charles |
| Credentials | PT |
| Telephone Number | 2313479300 |
NPI Number Detail
| NPI Number | 1538123906 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4048 Cedar Bluff Dr |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497708895 |
| Phone Number | 2313479300 |
| Fax Number | 2313471613 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30617 | MI | FEDERAL BCBS | |
| 30617 | MI | BLUE CROSS BLUE SHIELD | |
| 30617 | MI | BLUE CARE NETWORK |
Post Comment/ Review Below
What is the unique provider identifier assigned to Northern Michigan Sports Medicine Center?
The Northern Michigan Sports Medicine Center has been issued the NPI (National Provider Identifier) 1538123906 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Northern Michigan Sports Medicine Center's facilities are situated?
The facilities of Northern Michigan Sports Medicine Center are physically located at the following address: 4048 Cedar Bluff Dr, Petoskey, MI, 497708895.
What is the Northern Michigan Sports Medicine Center's specialty and taxonomy code?
The Northern Michigan Sports Medicine Center's specialty is Physical Therapy, and the corresponding taxonomy code is 261Qp2000X.
On what date did the Northern Michigan Sports Medicine Center receive its 1538123906 assignment from the Centers for Medicare & Medicaid Services?
The Northern Michigan Sports Medicine Center was assigned its 1538123906 by the Centers for Medicare & Medicaid Services on 2006-04-13.
When was the information related to Northern Michigan Sports Medicine Center most recently updated or refreshed?
The details pertaining to the Northern Michigan Sports Medicine Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.