Provider Demographics
NPI:1023028149
Name:ACCURATE PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:ACCURATE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-836-1110
Mailing Address - Street 1:131 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48342-2369
Mailing Address - Country:US
Mailing Address - Phone:248-836-1110
Mailing Address - Fax:248-745-0369
Practice Address - Street 1:131 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-2369
Practice Address - Country:US
Practice Address - Phone:248-836-1110
Practice Address - Fax:248-745-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI124919OtherGREAT LAKES HEALTH PLAN
MI30677OtherBCBSM
MI103396217Medicaid
MI124919OtherGREAT LAKES HEALTH PLAN