Organization Active NPI

Allen Park Premier Physical Therapy LLC

  • Physical Therapist
  • Allen Park, MI
National Provider Identifier
1134023096
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ALLEN PARK PREMIER PHYSICAL THERAPY LLC
Practice address
7105 Allen Rd Ste B
Allen Park, MI 48101-2009
Phone
(313) 398-3890
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Iman Hazime
Title
Owner
Phone
(313) 398-3890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

7105 Allen Rd Ste B
Allen Park, MI 48101-2009

Mailing address

7105 Allen Rd Ste B
Allen Park, MI 48101-2009

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1134023096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 ALLEN RD STE B",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 ALLEN RD STE B",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012009",
            "telephone_number": "313-398-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN PARK PREMIER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "HAZIME",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-398-3890"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.