Physical Therapy Services, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY SERVICES, INC.

Doing business as

Theramedic Rehab & Physical Therapy

Practice address

26400 W 12 Mile Rd Ste 25
Southfield, MI 48034-1774

Phone

(248) 565-4000

Fax

(248) 565-4020

NPI assigned

Jun 17, 2008

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pankaj Mamtora, PT

Title

Owner President

Phone

(248) 565-4000

Specialties & licenses 2

Addresses

Other names 1

• THERAMEDIC REHAB & PHYSICAL THERAPY Doing business as

Tax ID family

Physical Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physical Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Southfield, MI
  • NPI 1639292014
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dhanarani Navarose, PT

  • Physical Therapy Clinic/Center
  • Westland, MI
  • NPI 1669595062
  NPD

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1255591855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 25",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341774",
            "telephone_number": "248-565-4000",
            "fax_number": "248-565-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 25",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341774",
            "telephone_number": "248-565-4000",
            "fax_number": "248-565-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "MAMTORA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "248-565-4000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THERAMEDIC REHAB & PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix Rizing Inc.
• Physical Medicine and Wellness PC
• Physical Medicine Consultants PC
• Physical Medicine, P.C. (Jack Belen, M.D.)
• Physical Therapy and Fitness LLC
• Physical Therapy Services, Inc.
• Physical Therapy Solutions Service
• Physical Therapy Southfield, P.C.
• Physical Therapy Team, P.C.
• Physical Therapy Works, LLC

• Physical Therapy Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.