Organization Active NPI

Adequate Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lincoln Park, MI
National Provider Identifier
1215364880
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADEQUATE PHYSICAL THERAPY LLC
Practice address
2355 Fort St
Lincoln Park, MI 48146-2464
Phone
(313) 724-7670
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Haidar Hazime
Title
Owner
Phone
(313) 646-5034

Specialties & licenses 1

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

Addresses

Primary practice location

2355 Fort St
Lincoln Park, MI 48146-2464

Mailing address

2355 Fort St
Lincoln Park, MI 48146-2464
Phone (313) 724-7670

National Provider Directory

National Provider Directory

Locations

2355 Fort St
Lincoln Park, MI 48146
Phone (313) 382-0077

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1215364880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462464",
            "telephone_number": "313-724-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462464",
            "telephone_number": "313-724-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEQUATE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "HAZIME",
        "authorized_official_first_name": "HAIDAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-646-5034"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.