Organization Active NPI

Genie Therapy

  • Physical Therapy Clinic/Center
  • W Bloomfield, MI
National Provider Identifier
1205200029
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GENIE THERAPY
Practice address
5680 Tequesta CT
W Bloomfield, MI 48323-2346
Phone
(313) 701-0744
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dwende Ried
Title
Owner
Phone
(313) 701-0744

Specialties & licenses 1

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

Addresses

Primary practice location

5680 Tequesta CT
W Bloomfield, MI 48323-2346

Mailing address

5680 Tequesta CT
W Bloomfield, MI 48323-2346
Phone (313) 701-0744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1205200029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 TEQUESTA CT",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232346",
            "telephone_number": "313-701-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 TEQUESTA CT",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232346",
            "telephone_number": "313-701-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENIE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "RIED",
        "authorized_official_first_name": "DWENDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-701-0744"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.