Active NPI
Heavenly Hands Physical Therapy LLC
- Physical Therapy Clinic/Center
- Farmington Hills, MI
National Provider Identifier
1235696063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- HEAVENLY HANDS PHYSICAL THERAPY LLC
- Practice address
- 33228 W 12 Mile Rd # 258
Farmington Hills, MI 48334-3309 - Phone
- (313) 850-1812
- NPI assigned
- Feb 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia A Smith
- Title
- Owner
- Phone
- (313) 850-1812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
33228 W 12 Mile Rd # 258
Farmington Hills, MI 48334-3309
Mailing address
33228 W 12 Mile Rd # 258
Farmington Hills, MI 48334-3309
Phone (313) 850-1812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
33228 W 12 Mile Rd
Farmington Hills, MI 48334
Phone (313) 443-0946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551312000000",
"number": "1235696063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33228 W 12 MILE RD # 258",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343309",
"telephone_number": "313-850-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33228 W 12 MILE RD # 258",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343309",
"telephone_number": "313-850-1812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY HANDS PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-850-1812"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.