Organization Active NPI

Personalize Advance Therapy Services

  • Physical Therapy Clinic/Center
  • Clinton TWP, MI
National Provider Identifier
1285219329
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Mar 10, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.