Orthopedic Physical Therapy Specialist LLC
NPI 1407058209 · Physical Therapy Clinic/Center · South Haven, MI
Orthopedic Physical Therapy Specialist LLC is a Physical Therapy Clinic/Center organization in South Haven, MI (NPI 1407058209).
Provider details
- NPI number
- 1407058209
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Frederick, Owner(269) 637-9099
- License
- 5501011004 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2013-03-01
Frequently asked questions
- What is Orthopedic Physical Therapy Specialist LLC's NPI number?
- Orthopedic Physical Therapy Specialist LLC's National Provider Identifier (NPI) is 1407058209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Orthopedic Physical Therapy Specialist LLC?
- Orthopedic Physical Therapy Specialist LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Orthopedic Physical Therapy Specialist LLC located?
- Orthopedic Physical Therapy Specialist LLC's practice location on file with NPPES is 02957 73rd St, South Haven, MI 49090-9364.
- What is Orthopedic Physical Therapy Specialist LLC's phone number?
- The practice phone number listed in the NPPES registry for Orthopedic Physical Therapy Specialist LLC is (269) 637-9099.
- Who is the authorized official for Orthopedic Physical Therapy Specialist LLC?
- The authorized official listed on Orthopedic Physical Therapy Specialist LLC's NPPES record is Paul Frederick, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Orthopedic Physical Therapy Specialist LLC's NPI active?
- Yes — Orthopedic Physical Therapy Specialist LLC's NPI (1407058209) is active in the NPPES registry as of the last update on 2013-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.