Organization Active NPI

Absolute Physical Therapy LLC

  • Preferred Provider Organization
  • Dearborn, MI
National Provider Identifier
1083031108
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ABSOLUTE PHYSICAL THERAPY LLC
Practice address
17000 Executive Drive Suite105
Dearborn, MI 48126
Phone
(313) 908-5196
NPI assigned
Mar 26, 2014
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Anthony Ruscingno
Title
Sole Member
Phone
(313) 908-5196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

17000 Executive Drive Suite105
Dearborn, MI 48126

Mailing address

17000 Executive Drive Suite105
Dearborn, MI 48126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1083031108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 EXECUTIVE DRIVE SUITE105",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 EXECUTIVE DRIVE SUITE105",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-908-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "RUSCINGNO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "313-908-5196"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.