Organization Active NPI

Orthopedic Physical Therapy and Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Warren, MI
National Provider Identifier
1003210378
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ORTHOPEDIC PHYSICAL THERAPY AND REHABILITATION LLC
Practice address
27253 Van Dyke Ave
Warren, MI 48093-2858
Phone
(586) 459-5692
Fax
(586) 459-5695
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Najm Ul Hassan
Title
Admin
Phone
(248) 268-3748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

27253 Van Dyke Ave
Warren, MI 48093-2858

Mailing address

27253 Van Dyke Ave
Warren, MI 48093-2858
Phone (586) 459-5692

National Provider Directory

National Provider Directory

Locations

20905 Greenfield Rd
#610M
Southfield, MI 48075
Phone (248) 268-3748

20905 Greenfield Rd
Ste 610M
Southfield, MI 48075

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1003210378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27253 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932858",
            "telephone_number": "586-459-5692",
            "fax_number": "586-459-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27253 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932858",
            "telephone_number": "586-459-5692",
            "fax_number": "586-459-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC PHYSICAL THERAPY AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "NAJM",
        "authorized_official_middle_name": "UL",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "248-268-3748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.