NORTHSHORE REHAB PLLC NPI 1306928841

NPI Information

  • NPI: 1306928841
  • Provider Name: NORTHSHORE REHAB PLLC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 901 W FRONT ST
    SUITE B
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 947-5071

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NPI Details

NORTHSHORE REHAB PLLC is a pain medicine physical medicine rehabilitation in Traverse City, MI. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. NORTHSHORE REHAB PLLC NPI is 1306928841. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 W FRONT ST
SUITE B
TRAVERSE CITY, MI
ZIP 49684-374
Phone: (231) 947-5071
Fax: (231) 947-5094

The provider's authorized official is Karen Lynn Meyer .
The authorized official title is President S Corporation and has the following contact phone number (231) 947-5071.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 2/18/2010.

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
12081P2900XPhysical Medicine & RehabilitationPain Medicine5101013561MICHIGANYes

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
14673607MEDICAIDMICHIGAN
2H42038MEDICARE UPIN
30P0490001MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
42552810134OTHERMICHIGANBCBS PIN #

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: 11/21/2025

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