Organization Active NPI

Pilot Physical Therapy LLC

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1215616388
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PILOT PHYSICAL THERAPY LLC
Practice address
21700 Northwestern Hwy Ste 835
Southfield, MI 48075-4902
Phone
(248) 809-2092
Fax
(248) 327-6010
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Joseph D FisherNPI 1942994058
Title
Ceo
Phone
(248) 809-2092

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: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

21700 Northwestern Hwy Ste 835
Southfield, MI 48075-4902

Mailing address

21700 Northwestern Hwy Ste 835
Southfield, MI 48075-4902
Phone (248) 809-2092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230925003382 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436511672 Receives reassigned benefits from 3 practitioners
Practice locations: Southfield, MI; Warren, MI

National Provider Directory

National Provider Directory

Locations

28569 Schoenherr Rd
Warren, MI 48088
Phone (248) 809-2092

Practitioners & affiliated clinicians

Practitioners 4

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": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1215616388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 NORTHWESTERN HWY STE 835",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754902",
            "telephone_number": "248-809-2092",
            "fax_number": "248-327-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 NORTHWESTERN HWY STE 835",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754902",
            "telephone_number": "248-809-2092",
            "fax_number": "248-327-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILOT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-809-2092"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.