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General NPI Number Information
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NPI Number | 1851671234
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Entity Type | Organization
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Legal Business Name | BR PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 485 COLUMBIA AVE E STE 10
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City | BATTLE CREEK
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State | MI
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Zip | 49014-5462
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Country | US
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Telephone | 269-719-8110
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Fax | 269-719-8111
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Provider Business Mailing Address
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Address Line | 934 GLENCROFT LN
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City | BATTLE CREEK
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State | MI
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Zip | 49015-4606
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Country | US
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Telephone | 269-830-5555
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | BHAVANI RANGAN
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Credential | PT
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Telephone | 269-830-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501008918
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License Number State | MI
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