Active NPI
Enhanced Ability LLC
- Physical Therapy Clinic/Center
- Southfield, MI
National Provider Identifier
1083967723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ENHANCED ABILITY LLC
- Practice address
- 18597 W 10 Mile Rd
Ste3A
Southfield, MI 48075-2622 - Phone
- (313) 629-5065
- NPI assigned
- Oct 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valerie Rucker
- Title
- Manager
- Phone
- (313) 629-5065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
18597 W 10 Mile Rd
Ste3A
Southfield, MI 48075-2622
Mailing address
18597 W 10 Mile Rd
Ste3A
Southfield, MI 48075-2622
National Provider Directory
National Provider Directory- Tax ID family
- Enhanced Ability LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Eastpointe, MI
- NPI 1134559081
Locations
18597 W 10 Mile Rd
Ste 3A
Southfield, MI 48075
Phone (313) 629-5065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350518400000",
"number": "1083967723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18597 W 10 MILE RD",
"address_2": "STE3A",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18597 W 10 MILE RD",
"address_2": "STE3A",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752622",
"telephone_number": "313-629-5065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENHANCED ABILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A",
"authorized_official_last_name": "RUCKER",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "313-629-5065"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.