Integrated Therapy and Diagnostics,LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

D0637C Issued in MI

Legal business name

INTEGRATED THERAPY AND DIAGNOSTICS,LLC

Practice address

23077 Greenfield Rd Ste 110
Southfield, MI 48075-3744

Phone

(248) 569-3002

NPI assigned

Jan 30, 2007

Organization subpart

No

Name

Mr. Brandon L Jones

Title

Director

Phone

(734) 645-0399

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2007.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1255478459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753744",
            "telephone_number": "248-569-3002",
            "fax_number": "248-569-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753744",
            "telephone_number": "248-569-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY AND DIAGNOSTICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-645-0399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "D0637C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Southfield, MI
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.