Ivyrehab Northern PT, LLC
Ivyrehab Northern PT, LLC is a Physical Therapy Clinic/Center in Sparta, Michigan. Registered with an NPI since 2005.
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
31 Ida Red AveSparta, MI 49345-1277
Phone: (616) 887-8152
Fax: (616) 887-3809
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X |
|---|
Record details
| NPI number | 1972592525 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Rucker — Ceo · (914) 777-8700 |
| Other names | Northern Physical Therapy Services |
| NPI enumerated | October 17, 2005 |
| Last updated in NPPES | August 12, 2022 |
| Certification date | August 12, 2022 |
| Mailing address | 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 |