Organization Active NPI

RTR Physical Therapy

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1215568787
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RTR PHYSICAL THERAPY
Practice address
25932 Dequindre Rd
Warren, MI 48091-1071
Phone
(586) 578-9539
Fax
(586) 578-9554
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Ahmed Abraham
Title
Owner
Phone
(248) 802-1144

Specialties & licenses 1

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

Addresses

Primary practice location

25932 Dequindre Rd
Warren, MI 48091-1071

Mailing address

25932 Dequindre Rd
Warren, MI 48091-1071
Phone (586) 578-9539

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1215568787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25932 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911071",
            "telephone_number": "586-578-9539",
            "fax_number": "586-578-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25932 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911071",
            "telephone_number": "586-578-9539",
            "fax_number": "586-578-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-802-1144"
    },
    "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 Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.