Organization Active NPI

Lahser Medical Campus Physical Therapy LLC

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1033769039
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LAHSER MEDICAL CAMPUS PHYSICAL THERAPY LLC
Practice address
27207 Lahser Rd Ste 106
Southfield, MI 48034-2168
Phone
(248) 948-9448
NPI assigned
Sep 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Alex Jankowski
Title
Managing Owner
Phone
(248) 821-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

27207 Lahser Rd Ste 106
Southfield, MI 48034-2168

Mailing address

27207 Lahser Rd Ste 106
Southfield, MI 48034-2168

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1033769039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD STE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD STE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342168",
            "telephone_number": "248-948-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAHSER MEDICAL CAMPUS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "248-821-9936"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.