Provider Demographics
NPI:1013031616
Name:COMPREHENSIVE PHYSICAL CONSULTANTS
Entity Type:Organization
Organization Name:COMPREHENSIVE PHYSICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:LINEBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-227-8880
Mailing Address - Street 1:PO BOX 414
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-0414
Mailing Address - Country:US
Mailing Address - Phone:248-227-8880
Mailing Address - Fax:888-791-8968
Practice Address - Street 1:3770 KINGSWAY DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48356-1846
Practice Address - Country:US
Practice Address - Phone:877-846-6301
Practice Address - Fax:888-791-8968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N64150Medicare PIN
MI1609859552Medicare UPIN
MI1316920812Medicare UPIN