Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orthopedic Physical Therapy Specialist LLC

Organization Physical Therapy Clinic/Center · NPI 1407058209

Orthopedic Physical Therapy Specialist LLC is a Physical Therapy Clinic/Center in South Haven, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

02957 73rd St
South Haven, MI 49090-9364
Phone: (269) 637-9099
Fax: (269) 637-9224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 5501011004 (MI)

Record details

NPI number1407058209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Frederick — Owner · (269) 637-9099
NPI enumeratedJune 4, 2007
Last updated in NPPESMarch 1, 2013
Mailing address02957 73rd St, South Haven, MI 49090-9364

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