Organization Active NPI

I M Y Physical Therapy LLC.

  • Physical Medicine & Rehabilitation Physician
  • Troy, MI
National Provider Identifier
1083489033
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
I M Y PHYSICAL THERAPY LLC.
Practice address
2032 E Square Lake Rd Ste 300
Troy, MI 48085-3315
Phone
(248) 817-6797
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Toni George
Title
Owner
Phone
(248) 688-6882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2032 E Square Lake Rd Ste 300
Troy, MI 48085-3315

Mailing address

2032 E Square Lake Rd Ste 300
Troy, MI 48085-3315

National Provider Directory

National Provider Directory

Locations

2032 E Square Lake Rd
Ste 300
Troy, MI 48085
Phone (248) 817-6797

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1083489033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 E SQUARE LAKE RD STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 E SQUARE LAKE RD STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853315",
            "telephone_number": "248-817-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I M Y PHYSICAL THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-688-6882"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.