Pure Land Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PURE LAND PHYSICAL THERAPY PLLC

Practice address

23300 Greenfield Rd Ste 113
Oak Park, MI 48237-8407

Phone

(786) 309-1286

NPI assigned

Aug 22, 2016

Last updated

Aug 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Troy Causey

Title

Ceo

Phone

(786) 309-1286

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1174078919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD STE 113",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482378407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD STE 113",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482378407",
            "telephone_number": "786-309-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LAND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "CAUSEY",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-309-1286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.