Rom Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501011779 Issued in MI

Legal business name

ROM PHYSICAL THERAPY, LLC

Practice address

28679 Bayberry CT E
Livonia, MI 48154-3869

Phone

(248) 308-8215

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Atilano Manuelito Mendoza Manalese, RPT

Title

Owner

Phone

(248) 308-8215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1053765743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28679 BAYBERRY CT E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543869",
            "telephone_number": "248-308-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28679 BAYBERRY CT E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543869",
            "telephone_number": "248-308-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "MANALESE",
        "authorized_official_first_name": "ATILANO MANUELITO",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-308-8215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501011779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deja Rogers
• William J Rogers, PA
• Dian Roggenbuck
• Laurie Rogoff, PHD
• Aleksandra Janina Rokosz
• Samantha Roman
• Samantha Sue Roman
• Anna Romano, LMSW
• Root Canal Specialty Associates
• Shannon Root-Hernandez, LMSW

• Physical Therapy Clinic/Center in Livonia, MI
• Providers in Livonia, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.