HEALTH SOURCE PHYSICAL THERAPY CENTER, INC.
NPI 1083624969
Clinic/Center - Physical Therapy in Portland, MI

Active since August 09, 2006
1447 E GRAND RIVER AVE, PORTLAND, MI 48875(517) 647-1000(517) 647-1100 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Health Source Physical Therapy Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTH SOURCE PHYSICAL THERAPY CENTER, INC. (NPI 1083624969) is a healthcare organization registered as a physical therapy in Portland, Michigan and active in the NPI registry since August 2006. The organization lists Jaya P Boddu, President, as its authorized official.

NPPES Registry Identity

NPI1083624969
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameHEALTH SOURCE PHYSICAL THERAPY CENTER, INC.
Location Address1447 E GRAND RIVER AVEPortland, MI 48875-1631
Mailing Address1447 E Grand River AvePortland, MI 48875-1631 · (517) 647-1000 · Fax (517) 647-1100
Fax(517) 647-1100
Organization SubpartNo
Authorized OfficialJaya P BodduPresident · (517) 647-1000
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 20, 2011
NPI 1083624969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in MI · 5501005495
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 applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1447 E GRAND RIVER AVE, Portland, MI 48875

Other Identifiers 7

Medicaid10-4266217MI
Other650C457010MI · Bcbs
Other5501005495MI · Priority Health
Other30472MI · Bcn
Medicare ID-Type Unspecified23-6800MI
OtherP109760MI · Bcn
Other64-00030MI · Php

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1447 E GRAND RIVER AVE, HEALTH SOURCE PHYSICAL THERAPY CENTER,INC.
PORTLAND, MI 48875
Physical Therapist
1447 E GRAND RIVER AVE
PORTLAND, MI 48875
Psychologist (Clinical)
1447 E GRAND RIVER AVE
PORTLAND, MI 48875
Psychologist (Clinical)
1447 E GRAND RIVER AVE
PORTLAND, MI 48875
Physical Therapist
1447 E GRAND RIVER AVE
PORTLAND, MI 48875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Health Source Physical Therapy Center, Inc.'s NPI number?

The NPI number for Health Source Physical Therapy Center, Inc. is 1083624969. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Health Source Physical Therapy Center, Inc. located?

Health Source Physical Therapy Center, Inc. is located at 1447 E Grand River Ave, Portland, MI 48875. The listed phone number is (517) 647-1000.

What is Health Source Physical Therapy Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

What insurance does Health Source Physical Therapy Center, Inc. accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Health Source Physical Therapy Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Health Source Physical Therapy Center, Inc. was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.