Organization Active NPI

Heavenly Hands Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Farmington Hills, MI
National Provider Identifier
1235696063
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Feb 28, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.