Captiva Outpatient Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CAPTIVA OUTPATIENT PHYSICAL THERAPY INC

Practice address

15001 Michigan Ave
#200
Dearborn, MI 48126-2912

Phone

(313) 563-3220

Fax

(313) 563-3229

NPI assigned

Jul 13, 2012

Organization subpart

No

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

Authorized official

Name

Candice Kayal

Title

Biller

Phone

(313) 563-3220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1255696464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 MICHIGAN AVE",
            "address_2": "#200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262912",
            "telephone_number": "313-563-3220",
            "fax_number": "313-563-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 MICHIGAN AVE",
            "address_2": "#200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262912",
            "telephone_number": "313-563-3220",
            "fax_number": "313-563-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTIVA OUTPATIENT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "KAYAL",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "313-563-3220"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Dearborn, MI
• Providers in Dearborn, 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 13, 2012; 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.