Organization Active NPI

Physiofit Rehabilitation Services PLLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1184140774
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIOFIT REHABILITATION SERVICES PLLC
Practice address
25899 W 12 Mile Rd Ste 120
Southfield, MI 48034
Phone
(248) 688-1869
NPI assigned
Aug 16, 2017
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Mr. Chris Alberga
Title
Manager
Phone
(248) 688-1869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

25899 W 12 Mile Rd Ste 120
Southfield, MI 48034

Mailing address

25899 W 12 Mile Rd Ste 120
Southfield, MI 48034-8341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180905002200 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911257381 Receives reassigned benefits from 2 practitioners
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

25899 W 12 Mile Rd
Ste 120
Southfield, MI 48034
Phone (248) 688-1869

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1184140774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD STE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD STE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-688-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOFIT REHABILITATION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "ALBERGA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-688-1869",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.