Metro Physical Therapy,Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501006270 Issued in MI

Legal business name

METRO PHYSICAL THERAPY,INC.

Practice address

10809 Mack Ave
Detroit, MI 48214-2119

Phone

(313) 331-2100

Fax

(248) 619-0533

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Jay S. Jha, PHYSICAL THERAPIST

Title

Owner

Phone

(313) 331-2100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1073677829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 PASADENA DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835947",
            "telephone_number": "248-935-9585",
            "fax_number": "248-619-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10809 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142119",
            "telephone_number": "313-331-2100",
            "fax_number": "248-619-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PHYSICAL THERAPY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "JHA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-331-2100",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501006270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Detroit, MI
• Providers in Detroit, 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 Aug 29, 2007; 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.