District Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DISTRICT PHYSICAL THERAPY LLC

Practice address

5157 Stanton St
Detroit, MI 48208-2063

Phone

(248) 278-2906

NPI assigned

Dec 28, 2019

Last updated

Dec 28, 2019By 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

Irshath Zackariya

Title

Physical Therapist

Phone

(248) 722-7909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577491200000",
    "number": "1174162812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5157 STANTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082063",
            "telephone_number": "248-278-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5157 STANTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082063",
            "telephone_number": "248-278-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A",
        "authorized_official_last_name": "ZACKARIYA",
        "authorized_official_first_name": "IRSHATH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-722-7909"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaribeth Disla, LMSW
• Gabrielle Amanda Dismuke, M.T.
• Tulani Dismuke
• Maria Distler
• District Dental Center
• Catherine Cylkowski Ditri, CSW
• Aiswarya Divagaran, PHARMD
• Diversified Community Services
• Ana Farida Arniego Divina, APRN, BC
• Divine Concierge Solutions

• Physical Therapy Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; 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.