NPIMap

Organization Active NPI

Therapy Unlimited, LLC

  • Physical Therapy Clinic/Center
  • Novi, MI
National Provider Identifier
1205111465
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501009589 Issued in MI
Legal business name
THERAPY UNLIMITED, LLC
Practice address
44125 W Twelve Mile Road
E-123, Box D7
Novi, MI 48377-1980
Phone
(248) 952-4340
Fax
(248) 465-6059
NPI assigned
Oct 19, 2011
Last updated
May 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Susan Keller
Title
Administrator
Phone
(248) 952-4340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501009589 MI Primary
Occupational Medicine Clinic/Center 261QX0100X 5201009157 MI

Addresses

Primary practice location

44125 W Twelve Mile Road
E-123, Box D7
Novi, MI 48377-1980

Mailing address

44125 W Twelve Mile Road
E-123, Box D7
Novi, MI 48377-1980
Phone (248) 952-4340

Other identifiers 1

IdentifierTypeStateIssuer
0H75004OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000589 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557529567 Receives reassigned benefits from 8 practitioners
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Locations

24100 Drake Rd
Ste B
Farmington Hills, MI 48335
Phone (248) 442-5011

26751 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 443-5400

44125 W Twelve Mile Rd
Ste E-123
Novi, MI 48377
Phone (248) 442-5011

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1205111465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44125 W TWELVE MILE ROAD",
            "address_2": "E-123, BOX D7",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771980",
            "telephone_number": "248-952-4340",
            "fax_number": "248-465-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44125 W TWELVE MILE ROAD",
            "address_2": "E-123, BOX D7",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771980",
            "telephone_number": "248-952-4340",
            "fax_number": "248-465-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY UNLIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-952-4340"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501009589",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MI",
            "license": "5201009157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0H75004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.