Organization Active NPI

Physical Therapy Team, P.C.

  • Rehabilitation Clinic/Center
  • Southfield, MI
National Provider Identifier
1275747941
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PHYSICAL THERAPY TEAM, P.C.
Practice address
24060 W 10 Mile Rd
Ste 102
Southfield, MI 48033-3006
Phone
(248) 746-1132
Fax
(248) 746-1133
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Nathaniel DavisNPI 1598932642
Title
Administrator
Phone
(313) 618-1041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

24060 W 10 Mile Rd
Ste 102
Southfield, MI 48033-3006

Mailing address

28871 Farmington Rd
Farmington Hills, MI 48334-2613
Phone (313) 618-1041

National Provider Directory

National Provider Directory

Locations

24060 W 10 Mile Rd
Ste 102
Southfield, MI 48033
Phone (248) 746-1132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1275747941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28871 FARMINGTON RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342613",
            "telephone_number": "313-618-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24060 W 10 MILE RD",
            "address_2": "STE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333006",
            "telephone_number": "248-746-1132",
            "fax_number": "248-746-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY TEAM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-618-1041"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "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 Nov 6, 2013; 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.