NPIMap

Organization Active NPI

Troy Physical Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Troy, MI
National Provider Identifier
1104363647
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TROY PHYSICAL THERAPY SERVICES LLC
Practice address
525 E Big Beaver Rd
Suite 305
Troy, MI 48083-1364
Phone
(248) 817-5870
Fax
(248) 817-5729
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Murtadha Sudani
Title
Owner
Phone
(248) 817-5870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

525 E Big Beaver Rd
Suite 305
Troy, MI 48083-1364

Mailing address

525 E Big Beaver Rd
Suite 305
Troy, MI 48083-1364
Phone (248) 817-5870

National Provider Directory

National Provider Directory

Locations

525 E Big Beaver Rd
Ste 305
Troy, MI 48083
Phone (248) 817-5870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1104363647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E BIG BEAVER RD",
            "address_2": "SUITE 305",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831364",
            "telephone_number": "248-817-5870",
            "fax_number": "248-817-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E BIG BEAVER RD",
            "address_2": "SUITE 305",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831364",
            "telephone_number": "248-817-5870",
            "fax_number": "248-817-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "SUDANI",
        "authorized_official_first_name": "MURTADHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-817-5870"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 Jan 23, 2017; 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.