ORTHOPEDIC PHYSICAL THERAPY SPECIALIST LLC
NPI 1407058209
Clinic/Center - Physical Therapy in South Haven, MI

Active since June 04, 2007
02957 73RD ST, SOUTH HAVEN, MI 49090(269) 637-9099(269) 637-9224 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Orthopedic Physical Therapy Specialist Llc NPPES

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

ORTHOPEDIC PHYSICAL THERAPY SPECIALIST LLC (NPI 1407058209) is a healthcare organization registered as a physical therapy in South Haven, Michigan and active in the NPI registry since June 2007. The organization lists Paul Frederick, Owner, as its authorized official.

NPPES Registry Identity

NPI1407058209
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameORTHOPEDIC PHYSICAL THERAPY SPECIALIST LLC
Location Address02957 73RD STSouth Haven, MI 49090-9364
Mailing Address02957 73rd StSouth Haven, MI 49090-9364 · (269) 637-9099 · Fax (269) 637-9224
Fax(269) 637-9224
Organization SubpartNo
Authorized OfficialPaul FrederickOwner · (269) 637-9099
Enumeration DateJune 4, 2007
Last NPPES UpdateMarch 1, 2013
NPI 1407058209 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 · 5501011004
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.
02957 73RD ST, South Haven, MI 49090

Other Identifiers 2

Medicaid4800853-10MI
Medicare PINOPO2050MI

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Physical Therapy)
02957 73RD ST
SOUTH HAVEN, MI 49090

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 Orthopedic Physical Therapy Specialist LLC's NPI number?

The NPI number for Orthopedic Physical Therapy Specialist LLC is 1407058209. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Orthopedic Physical Therapy Specialist LLC located?

Orthopedic Physical Therapy Specialist LLC is located at 02957 73rd St, South Haven, MI 49090. The listed phone number is (269) 637-9099.

What is Orthopedic Physical Therapy Specialist LLC's specialty?

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

What insurance does Orthopedic Physical Therapy Specialist LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Orthopedic Physical Therapy Specialist LLC 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 Orthopedic Physical Therapy Specialist LLC was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.