Evidence in Manual Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014924 Issued in MI

Legal business name

EVIDENCE IN MANUAL PHYSICAL THERAPY LLC

Practice address

39070 Van Dyke Ave
Sterling Heights, MI 48313-4613

Phone

(248) 688-5601

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ishak Adel Yanni, DPTNPI 1336543826

Title

President

Phone

(248) 688-5601

Specialties & licenses 1

Addresses

Other names 1

• EIM PT Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Ishak Adel Yanni

  • Physical Therapist
  • Rochester, MI
  • NPI 1336543826
  Medicare reassignment Care Compare group Authorized official
• Gorget Dous

  • Physical Therapist
  • Rochester Hills, MI
  • NPI 1053785311
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1245747401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 CHATHAM CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064383",
            "telephone_number": "248-688-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39070 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134613",
            "telephone_number": "248-688-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 E Wattles Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480855083",
            "country_code": "US",
            "telephone_number": "248-688-9209",
            "fax_number": "248-509-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVIDENCE IN MANUAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "YANNI",
        "authorized_official_first_name": "ISHAK",
        "authorized_official_middle_name": "ADEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-688-5601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EIM PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Donald Evens, OTRL
• Kevin J. Everett, M.D.
• Nate Jordan Everett
• Ivory Evergreen
• Lauren Everley, M.S., CF-SLP
• Evolve Physical Therapy LLC
• Excellent Care Home Help, LLC
• Excellent Home Care, Inc.
• Eyecue Solutions PLLC
• Eyesee Eyecare L.L.C

• Physical Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.