Organization Active NPI

St John Physical Therapy Inc

  • Physical Therapist
  • Madison Heights, MI
National Provider Identifier
1033057674
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Mar 24, 2026

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.