Active NPI
Physiotherapy Associates Inc
- Physical Therapy Clinic/Center
- Southfield, MI
National Provider Identifier
1255438487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PHYSIOTHERAPY ASSOCIATES INC
- Practice address
- 24011 Greenfield Rd
Southfield, MI 48075-3115 - Phone
- (248) 551-5440
- Fax
- (248) 557-2305
- NPI assigned
- Sep 20, 2006
- 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
- Jayne Fleck-Pool Jr.
- Title
- Chief Compliance Officer
- Phone
- (469) 467-8705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
24011 Greenfield Rd
Southfield, MI 48075-3115
Mailing address
2300 Coit Rd
Suite 300
Plano, TX 75075-3768
Phone (469) 467-8705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040223000292 | MI | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3577470442 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Livonia, MI; Mason, MI; Grand Ledge, MI |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rehabilitation Clinic/Center
- Livonia, MI
- NPI 1023113925
O20040223000292
-
- Rehabilitation Clinic/Center
- Grand Ledge, MI
- NPI 1932207321
O20040223000292
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275436800000",
"number": "1255438487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 COIT RD",
"address_2": "SUITE 300",
"city": "PLANO",
"state": "TX",
"postal_code": "750753768",
"telephone_number": "469-467-8705",
"fax_number": "267-321-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24011 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753115",
"telephone_number": "248-551-5440",
"fax_number": "248-557-2305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2010-06-02",
"status": "A",
"authorized_official_last_name": "FLECK-POOL",
"authorized_official_first_name": "JAYNE",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "469-467-8705",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.