NPIMap

Organization Active NPI

Holistic Physical Therapy Center, LLC.

  • Physical Therapist
  • Flint, MI
National Provider Identifier
1215353909
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOLISTIC PHYSICAL THERAPY CENTER, LLC.
Practice address
1170 Charter Drive Suite C.
Flint, MI 48532
Phone
(810) 820-4975
Fax
(810) 820-2134
NPI assigned
Mar 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Dr. Khadra A. Kahin, D.C.NPI 1801951686
Title
Owner/President
Phone
(810) 820-4533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1170 Charter Drive Suite C.
Flint, MI 48532

Mailing address

1170 Charter Drive Suite C.
Flint, MI 48532
Phone (810) 820-4975

National Provider Directory

National Provider Directory

Locations

1170 Charter Dr
Ste C
Flint, MI 48532
Phone (810) 820-4975

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1215353909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CHARTER DRIVE SUITE C.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-820-4975",
            "fax_number": "810-820-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CHARTER DRIVE SUITE C.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-820-4975",
            "fax_number": "810-820-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PHYSICAL THERAPY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "KAHIN",
        "authorized_official_first_name": "KHADRA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "810-820-4533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.