Organization Active NPI

Shauls Individualized Physical Therapy, PC

  • Specialist
  • Commerce Township, MI
National Provider Identifier
1154482016
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SHAULS INDIVIDUALIZED PHYSICAL THERAPY, PC
Practice address
4123 Martin Rd
Suite 201
Commerce Township, MI 48390-4151
Phone
(248) 366-9170
Fax
(248) 366-9176
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Ms. Michele Lawrence
Title
Office Manager
Phone
(248) 366-9170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4123 Martin Rd
Suite 201
Commerce Township, MI 48390-4151

Mailing address

4123 Martin Rd
Suite 201
Commerce Township, MI 48390-4151
Phone (248) 366-9170

National Provider Directory

National Provider Directory

Locations

4204 Martin Rd
Ste A
Commerce Township, MI 48390
Phone (248) 366-9170

Practitioners & affiliated clinicians

Practitioners 2

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1154482016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 MARTIN RD",
            "address_2": "SUITE 201",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483904151",
            "telephone_number": "248-366-9170",
            "fax_number": "248-366-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 MARTIN RD",
            "address_2": "SUITE 201",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483904151",
            "telephone_number": "248-366-9170",
            "fax_number": "248-366-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAULS INDIVIDUALIZED PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-366-9170",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.