Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Orthopedic Physical Therapy Specialist LLC

Physical Therapy Clinic/Center in South Haven, MI · enumerated 2007 · authorized official Paul Frederick, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407058209

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Orthopedic Physical Therapy Specialist LLC

Practice address 02957 73rd St, South Haven, MI, 49090

Phone (269) 637-9099

Fax (269) 637-9224

Enumeration date Jun 4, 2007

Last updated in NPPES Mar 1, 2013

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 5501011004 (MI) Primary

Authorized official

Name Paul Frederick

Title Owner

Phone (269) 637-9099

Other identifiers

Identifier	Type	State	Issuer
4800853-10	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-03-01. Verify at npiregistry.cms.hhs.gov.

Where is Orthopedic Physical Therapy Specialist LLC located?

The practice location on file with NPPES is in South Haven, MI.

Providers at this address

Browse all →

Paul Frederick Physical Therapy Clinic/Center · South Haven, MI NPI 1790881290

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-01.