Provider Demographics
NPI:1023291937
Name:AURO PHYSICAL THERAPY, PLC
Entity type:Organization
Organization Name:AURO PHYSICAL THERAPY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAILESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SATPATHY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:269-903-2273
Mailing Address - Street 1:7900 OWEN DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-9007
Mailing Address - Country:US
Mailing Address - Phone:269-903-2273
Mailing Address - Fax:269-903-2329
Practice Address - Street 1:7900 OWEN DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-9007
Practice Address - Country:US
Practice Address - Phone:269-903-2273
Practice Address - Fax:269-903-2329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 335E00000X
MI5501006896225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1023291937Medicaid
MI0C91537OtherBCBSM
MI6393820001Medicare NSC
MIOP56400Medicare PIN