NPIMap

Organization Active NPI

Advantage Physical Therapy & Rehabilitation Services, Inc.

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1093803595
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANTAGE PHYSICAL THERAPY & REHABILITATION SERVICES, INC.
Doing business as
Advantage Physical Therapy & Rehabilitation Services, Inc.
Practice address
19323 Farmington Rd
Livonia, MI 48152-1404
Phone
(248) 471-1602
Fax
(248) 471-1674
NPI assigned
Oct 10, 2006
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dilip K Dey, MHS, PTNPI 1396134755
Title
Administrator
Phone
(248) 471-1602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

19323 Farmington Rd
Livonia, MI 48152-1404

Mailing address

19323 Farmington Rd
Livonia, MI 48152-1404
Phone (248) 471-1602

Other identifiers 1

IdentifierTypeStateIssuer
30351OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • ADVANTAGE PHYSICAL THERAPY & REHABILITATION SERVICES, INC. Doing business as

National Provider Directory

National Provider Directory

Locations

19323 Farmington Rd
Livonia, MI 48152
Phone (248) 471-1602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1093803595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19323 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521404",
            "telephone_number": "248-471-1602",
            "fax_number": "248-471-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19323 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521404",
            "telephone_number": "248-471-1602",
            "fax_number": "248-471-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL THERAPY & REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "DEY",
        "authorized_official_first_name": "DILIP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-471-1602",
        "authorized_official_credential": "MHS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30351",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANTAGE PHYSICAL THERAPY & REHABILITATION SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.