Provider Demographics
NPI:1689966871
Name:ARCH PHYSICAL THERAPY AND SPORTS MEDICINE LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:ARCH PHYSICAL THERAPY AND SPORTS MEDICINE 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:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:1701 S WAVERLY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-4300
Mailing Address - Country:US
Mailing Address - Phone:517-367-7851
Mailing Address - Fax:517-367-7857
Practice Address - Street 1:1701 S WAVERLY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-4300
Practice Address - Country:US
Practice Address - Phone:517-367-7851
Practice Address - Fax:517-367-7857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2015-02-25
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
MIMI4948Medicare PIN