Organization Active NPI

Collaborative Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1073204848
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COLLABORATIVE REHABILITATION LLC
Practice address
5456 15 Mile Rd Ste 101
Sterling Heights, MI 48310-5110
Phone
(313) 743-2300
Fax
(313) 572-0811
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Zubair Fayyaz, PT
Title
Physical Therapist
Phone
(313) 743-2300

Specialties & licenses 1

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

Addresses

Primary practice location

5456 15 Mile Rd Ste 101
Sterling Heights, MI 48310-5110

Mailing address

5456 15 Mile Rd Ste 101
Sterling Heights, MI 48310-5110
Phone (313) 743-2300

National Provider Directory

National Provider Directory

Locations

5456 15 Mile Rd
Ste 103
Sterling Heights, MI 48310

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1073204848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 15 MILE RD STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105110",
            "telephone_number": "313-743-2300",
            "fax_number": "313-572-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 15 MILE RD STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105110",
            "telephone_number": "313-743-2300",
            "fax_number": "313-572-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "FAYYAZ",
        "authorized_official_first_name": "ZUBAIR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "313-743-2300",
        "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 Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.