Active NPI
St John Physical Therapy Inc
- Physical Therapist
- Madison Heights, MI
National Provider Identifier
1033057674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ST JOHN PHYSICAL THERAPY INC
- Practice address
- 28091 Dequindre Rd Ste 200
Madison Heights, MI 48071-3047 - Phone
- (248) 688-1186
- NPI assigned
- Mar 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nabil Elisha
- Title
- Owner
- Phone
- (586) 209-8681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
28091 Dequindre Rd Ste 200
Madison Heights, MI 48071-3047
Mailing address
28091 Dequindre Rd Ste 200
Madison Heights, MI 48071-3047
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1033057674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28091 DEQUINDRE RD STE 200",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28091 DEQUINDRE RD STE 200",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713047",
"telephone_number": "248-688-1186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOHN PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "ELISHA",
"authorized_official_first_name": "NABIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-209-8681",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.