NPIMap

Organization Active NPI

Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Milan, MI
National Provider Identifier
1053699728
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP
Practice address
870 E Arkona Rd
Suite 110
Milan, MI 48160-9770
Phone
(734) 439-2200
Fax
(734) 439-2204
NPI assigned
Jul 29, 2011
Last updated
Jul 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Lawrance W McAfee
Title
Cfo
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

870 E Arkona Rd
Suite 110
Milan, MI 48160-9770

Mailing address

9368 N Lilley Rd
Plymouth, MI 48170-4610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070115000101 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870488521 Receives reassigned benefits from 69 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milan, MI; Milford, MI; Northville, MI; Novi, MI; Oakland Township, MI; Saint Clair Shores, MI; Saline, MI; Shelby Township, MI…

Other NPIs on the same Medicare enrollment 28

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 28

National Provider Directory

National Provider Directory
Tax ID family
Plymouth Physical Therapy18 organizations share this tax ID, including this one
Part of
Plymouth Physical Therapy

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

29460 Ford Rd
Garden City, MI 48135
Phone (734) 522-0065

870 E Arkona Rd
#110
Milan, MI 48160
Phone (734) 439-2200

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1053699728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9368 N LILLEY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 E ARKONA RD",
            "address_2": "SUITE 110",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481609770",
            "telephone_number": "734-439-2200",
            "fax_number": "734-439-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "MCAFEE",
        "authorized_official_first_name": "LAWRANCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.