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ACTIVE PHYSICAL THERAPY AND REHAB SERVICES INC. NPI 1053364679


NPI Information

NPI: 1053364679
Provider Name: ACTIVE PHYSICAL THERAPY AND REHAB SERVICES INC.
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
718 HURON AVE
PORT HURON, MI
ZIP 48060
Phone: (810) 966-8500
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ACTIVE PHYSICAL THERAPY AND REHAB SERVICES INC. is a rehabilitation clinic center in Port Huron, MI. ACTIVE PHYSICAL THERAPY AND REHAB SERVICES INC. NPI is 1053364679. The provider is registered as an organization entity type.

The provider's business location address is:

718 HURON AVE
PORT HURON, MI
ZIP 48060-704
Phone: (810) 966-8500
Fax: (810) 966-8600

The provider's authorized official is Chamundeeswari Muthuvinayagam .
The authorized official title is Owner/administrator and has the following contact phone number (810) 966-8500.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 3/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationN/AYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11053364679OTHERMICHIGANBLUECARE NETWORK
2236782MEDICARE PINMICHIGAN
35183763MEDICAIDMICHIGAN
430045OTHERMICHIGANBCBS
530901OTHERMICHIGANBCBS
6236782MEDICARE OSCAR/CERTIFICATIONMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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