Organization Active NPI

Applied Rehab & Physical Therapy

Doing business as Applied Rehab

  • Physical Therapy Clinic/Center
  • Dearborn, MI
National Provider Identifier
1265807788
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
APPLIED REHAB & PHYSICAL THERAPY
Doing business as
Applied Rehab
Practice address
13702 Michigan Ave
Dearborn, MI 48126-3489
Phone
(313) 985-1600
NPI assigned
Dec 9, 2015
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Dr. Kallil Ibrahim Kazan, DCNPI 1346254604
Title
Owner
Phone
(313) 695-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

13702 Michigan Ave
Dearborn, MI 48126-3489

Mailing address

13702 Michigan Ave
Dearborn, MI 48126-3489
Phone (313) 985-1600

Other names 1

  • Applied Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

13702 Michigan Ave
Dearborn, MI 48126
Phone (313) 985-1600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1265807788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13702 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263489",
            "telephone_number": "313-985-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13702 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263489",
            "telephone_number": "313-985-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED REHAB & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "KAZAN",
        "authorized_official_first_name": "KALLIL",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-695-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Applied Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.