Step Up Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STEP UP PHYSICAL THERAPY LLC

Practice address

15750 Northline Rd Ste B
Southgate, MI 48195-2378

Phone

(734) 357-0505

Fax

(734) 357-0506

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fadi Delly, MDNPI 1104137967

Title

Owner

Phone

(734) 357-0505

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: fdelly361209@direct.hfhs.org

Practitioners 4

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.

• Ernest Gene Babon III, DPT

  • Physical Therapist
  • Howell, MI
  • NPI 1528734274
  Medicare reassignment NPD
• Jeffrey Sam Orow, PT

  • Orthopedic Physical Therapist
  • West Bloomfield, MI
  • NPI 1073608907
  Medicare reassignment NPD
• Arslan Zafar, PT

  • Physical Therapist
  • Dearborn, MI
  • NPI 1235708421
  Medicare reassignment NPD
• Fadi H Delly, M.D.

  • Interventional Pain Medicine Physician
  • Wyandotte, MI
  • NPI 1104137967
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1063082667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 FORT ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924135",
            "telephone_number": "734-357-0505",
            "fax_number": "734-357-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15750 NORTHLINE RD STE B",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952378",
            "telephone_number": "734-357-0505",
            "fax_number": "734-357-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "DELLY",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-357-0505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fdelly361209@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Wyandotte Hospital",
            "address_1": "15750 Northline Rd Ste B",
            "city": "Southgate",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481952378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah M. Stawkey, LLMSW
• Avery Steele
• Dakota Steffey
• Noni Ayanna Stein, LMSW, ACSW
• Marissa Ann Steiner, LLMSW
• Sydney Stevenson
• Valeria Michelle Stevenson, RN
• Carol Stewart
• Cynthia Stewart
• Holland Stewart

• Physical Therapist in Southgate, MI
• Providers in Southgate, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.