Crown Physical Therapy Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CROWN PHYSICAL THERAPY INC

Practice address

20000 Dequindre St
Detroit, MI 48234-4512

Phone

(248) 667-6015

Fax

(248) 694-0966

NPI assigned

Jan 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Abayomi Rasheed Kuforiji, PT

Title

Owner

Phone

(248) 667-6015

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1043727423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 MAJESTIC OAKS DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483821191",
            "telephone_number": "248-667-6015",
            "fax_number": "248-694-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 DEQUINDRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482344512",
            "telephone_number": "248-667-6015",
            "fax_number": "248-694-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 Rivard St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482074744",
            "country_code": "US",
            "telephone_number": "248-667-6015",
            "fax_number": "248-694-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROWN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KUFORIJI",
        "authorized_official_first_name": "ABAYOMI",
        "authorized_official_middle_name": "RASHEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-667-6015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisha Crowfield-White
• Emily Crowley
• Jasmine Irene Crowley
• Sarah Marie Crowley, DO
• Crown Medical LLC
• Crowned Medical Solutions LLC
• Crowning Angels Homecare Services
• Antonina Crudo, CRNA
• Juliette Crudup
• Shannon Crumbley

• Physical Medicine & Rehabilitation Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.