Organization Active NPI

Recovery Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Livonia, MI
National Provider Identifier
1073152252
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RECOVERY PHYSICAL THERAPY, LLC
Practice address
29240 Buckingham St Ste 10
Livonia, MI 48154-4575
Phone
(734) 855-4572
Fax
(734) 855-4573
NPI assigned
Jan 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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

Authorized official

Name
Hedayat Ur Rahman, PT
Title
Manager
Phone
(248) 346-5589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

29240 Buckingham St Ste 10
Livonia, MI 48154-4575

Mailing address

29240 Buckingham St Ste 10
Livonia, MI 48154-4575
Phone (734) 855-4572

National Provider Directory

National Provider Directory

Locations

29240 Buckingham St
Ste 10
Livonia, MI 48154
Phone (248) 346-5589

NPI Registry JSON

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1073152252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29240 BUCKINGHAM ST STE 10",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544575",
            "telephone_number": "734-855-4572",
            "fax_number": "734-855-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29240 BUCKINGHAM ST STE 10",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544575",
            "telephone_number": "734-855-4572",
            "fax_number": "734-855-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "HEDAYAT",
        "authorized_official_middle_name": "UR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-346-5589",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.