BAYSHORE HAND REHABILITATION – NPI #1205681509
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

BAYSHORE HAND REHABILITATION is an AHC clinic located in TRAVERSE CITY, MI. NPPES has assigned the NPI number 1205681509 to BAYSHORE HAND REHABILITATION on April 19, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAYSHORE HAND REHABILITATION below.

NPI Profile for
BAYSHORE HAND REHABILITATION

NPI Number
1205681509
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAYSHORE HAND REHABILITATION
Primary location
4110 COPPER RIDGE DR STE 204D
TRAVERSE CITY, MI 49684-6721
Phone: (231) 300-8411 Fax:
Mailing address
428 W 8TH ST
TRAVERSE CITY, MI 49684-3105
Phone: (760) 712-9309 Fax:
Organization Subpart
No
Authorized Official
NICHOLE ROOST
OTRL, CHT, OWNER
Phone: (760) 712-9309
Updated
Certification Date
Apr 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
332BC3200X
- Durable Medical Equipment & Medical Supplies / Customized Equipment

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.