Healthcare Provider Details

I. General information

NPI: 1164693982
Provider Name (Legal Business Name): THE PHYSICAL THERAPY CONNECTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13575 S AIRPORT RD STE 105
LANSING MI
48906-9187
US

IV. Provider business mailing address

13575 S AIRPORT RD STE 105
LANSING MI
48906-9187
US

V. Phone/Fax

Practice location:
  • Phone: 517-668-0000
  • Fax: 517-668-0017
Mailing address:
  • Phone: 517-668-0000
  • Fax: 517-668-6676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number929013
License Number StateMI

VIII. Authorized Official

Name: ELIZABETH ANN LANDGRAF
Title or Position: PRESIDENT/OWNER
Credential: P.T.
Phone: 517-668-0000