Provider Demographics
NPI:1679749857
Name:GENESEE VALLEY PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:GENESEE VALLEY PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:6012 LINDEN RD
Mailing Address - Street 2:UNIT 15
Mailing Address - City:SWARTZ CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:48473-8890
Mailing Address - Country:US
Mailing Address - Phone:810-655-8244
Mailing Address - Fax:810-655-2192
Practice Address - Street 1:6012 LINDEN RD
Practice Address - Street 2:UNIT 15
Practice Address - City:SWARTZ CREEK
Practice Address - State:MI
Practice Address - Zip Code:48473-8890
Practice Address - Country:US
Practice Address - Phone:810-655-8244
Practice Address - Fax:810-655-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P59320Medicare PIN