Sage Physical Therapy and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SAGE PHYSICAL THERAPY AND WELLNESS LLC

Practice address

41637 Blair Dr
Novi, MI 48377-1543

Phone

(248) 717-0099

NPI assigned

May 2, 2022

Organization subpart

No

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

Authorized official

Name

Luba KhakhamNPI 1811398563

Title

Owner

Phone

(248) 755-3202

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luba Khakham

  • Physical Therapist
  • Plymouth, MI
  • NPI 1811398563
  NPD Authorized official

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1235874488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41637 BLAIR DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41637 BLAIR DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771543",
            "telephone_number": "248-717-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "KHAKHAM",
        "authorized_official_first_name": "LUBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-755-3202"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Revard Joseph Saffo
• Tracy M Safranski
• Giti Bharati Sahoo
• Shabeta Sahore, M.D.
• Sai K. Sista MD, PLLC
• Lynn Marion Said, PT
• Malek Saif, LMSW

• Physical Therapist in Novi, MI
• Providers in Novi, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.