1790123396 NPI number — TRANSCEND PHYSICAL THERAPY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790123396 NPI number — TRANSCEND PHYSICAL THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSCEND PHYSICAL THERAPY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790123396
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
TRANSCEND PHYSICAL THERAPY
Provider Second Line Business Mailing Address:
PO BOX 162
Provider Business Mailing Address City Name:
BLISSFIELD
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49228-0162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-486-5278
Provider Business Mailing Address Fax Number:
517-486-5298

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
TRANSCEND PHYSICAL THERAPY
Provider Second Line Business Practice Location Address:
116 S. LANE ST.
Provider Business Practice Location Address City Name:
BLISSFIELD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49228-1206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-486-5278
Provider Business Practice Location Address Fax Number:
517-486-5298
Provider Enumeration Date:
06/05/2013

Additional Information

Authorized Official

Authorized Official Last Name:
QUINTON
Authorized Official First Name:
JONATHAN
Authorized Official Middle Name:
ALEXANDER
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
734-219-2865

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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