Organization Active NPI

Physical Therapy Solutions Service

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1275170888
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY SOLUTIONS SERVICE
Practice address
24423 Southfield Rd Ste 100
Southfield, MI 48075-2864
Phone
(248) 233-6199
Fax
(248) 233-6199
NPI assigned
Dec 2, 2019
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Anthony Fuller
Title
Ceo
Phone
(248) 233-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

24423 Southfield Rd Ste 100
Southfield, MI 48075-2864

Mailing address

24423 Southfield Rd Ste 100
Southfield, MI 48075-2864
Phone (248) 233-6199

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1275170888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24423 SOUTHFIELD RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752864",
            "telephone_number": "248-233-6199",
            "fax_number": "248-233-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24423 SOUTHFIELD RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752864",
            "telephone_number": "248-233-6199",
            "fax_number": "248-233-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SOLUTIONS SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-233-2044"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "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 Sep 12, 2023; 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.