Eastside Physical Therapy LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5501008309 Issued in MI

Legal business name

EASTSIDE PHYSICAL THERAPY LLC

Practice address

24025 Greater Mack Ave
Suite 101
Saint Clair Shores, MI 48080-1484

Phone

(248) 739-9059

NPI assigned

May 1, 2015

Organization subpart

No

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

Authorized official

Name

Sami Faltas, PT

Title

Owner

Phone

(248) 739-9059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1235516949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11258 REGAL DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134974",
            "telephone_number": "248-739-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24025 GREATER MACK AVE",
            "address_2": "SUITE 101",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801484",
            "telephone_number": "248-739-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "FALTAS",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-739-9059",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501008309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastside Associates, LLC (Eastside Endoscopy Center)
• Eastside Eye Physicians, PC
• Eastside Eye Physicians, PC
• Eastside Group LLC
• Eastside Internal Medicine PC
• Eastside Podiatry PLLC
• Eastside Trauma & Specialty Surgeons
• Margaret Eckel, D.O.
• Thomas Eckert
• Joann M. Eder, MSW

• Physical Medicine & Rehabilitation Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.