# THERASPORT PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Rehabilitation Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013044569
- **Authorized official:** MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 6543 MIDDLEBELT RD, GARDEN CITY, MI 48135-2145
- **Practice address phone:** (734) 458-7878
- **Practice address fax:** (734) 458-7838
- **Mailing address:** 3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1326
- **Mailing address phone:** (419) 252-5541
- **Mailing address fax:** (419) 252-5548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/22/2020