Rose Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ROSE PHYSICAL THERAPY

Practice address

42630 Van Dyke Ave
Sterling Heights, MI 48314-3324

Phone

(586) 930-1836

Fax

(586) 930-1837

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Arak Ishaq

Title

Authorized Official

Phone

(586) 930-1836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1144766072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42630 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143324",
            "telephone_number": "586-930-1836",
            "fax_number": "586-930-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42630 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143324",
            "telephone_number": "586-930-1836",
            "fax_number": "586-930-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "ISHAQ",
        "authorized_official_first_name": "ARAK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "586-930-1836"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald L Sudomir DDS PC
• Christine Rooney
• Derek Brandon Roos, D.M.D.
• Root Access Therapeutics PLLC
• Roxanne B Ropponen, FNP-BC
• Mikayla Marie Rose, OTRL
• Mark Stephen Rosenberg, DO
• Michael Saul Rosenfeld, D.D.S.
• Geraldine D Rosete, NP
• Frank N Rosner, DDS

• Physical Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.