Organization
GREAT LAKES THERAPY HOUSE CALLS PC
Active
Other names
GREAT LAKES PHYSICAL THERAPY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A HARVEY PT (ADMINISTRATOR)
(231) 941-8100
Entity
Organization
Contact information
Practice address
5123 N ROYAL DR, TRAVERSE CITY, MI 49684-9201
(231) 941-8100
(231) 941-8812
Mailing address
1650 BARLOW ST, TRAVERSE CITY, MI 49686-4721
(231) 941-8100
(231) 922-0382
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650B8
BCBS OF MI
MI
01
—
670B8
BCBS MI
MI
Enumeration date
05/22/2007
Last updated
02/19/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up