Active NPI
Personalize Advance Therapy Services
- Physical Therapy Clinic/Center
- Clinton TWP, MI
National Provider Identifier
1285219329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PERSONALIZE ADVANCE THERAPY SERVICES
- Practice address
- 44315 N Gratiot Ave Ste 80
Clinton TWP, MI 48036-1355 - Phone
- (313) 304-4040
- NPI assigned
- Mar 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur Robert Burt
- Title
- President
- Phone
- (248) 792-2623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
44315 N Gratiot Ave Ste 80
Clinton TWP, MI 48036-1355
Mailing address
28021 Southfield Rd Ste 200
Lathrup Village, MI 48076-2816
Phone (313) 304-4040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615334400000",
"number": "1285219329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28021 SOUTHFIELD RD STE 200",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480762816",
"telephone_number": "313-304-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44315 N GRATIOT AVE STE 80",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480361355",
"telephone_number": "313-304-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONALIZE ADVANCE THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A",
"authorized_official_last_name": "BURT",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-792-2623"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.