Miracle Loveknot Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MIRACLE LOVEKNOT PHYSICAL THERAPY LLC

Practice address

24800 Northwestern Hwy
Suite 2
Southfield, MI 48075-2319

Phone

(248) 395-2234

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shirley A Douglas

Title

Ceo

Phone

(734) 451-0600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1295198505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24800 NORTHWESTERN HWY",
            "address_2": "SUITE 2",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752319",
            "telephone_number": "248-395-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 NORTHWESTERN HWY",
            "address_2": "SUITE 2",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752319",
            "telephone_number": "248-395-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE LOVEKNOT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-451-0600"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Minzey
• Jonathan Miodownik, D.M.D.
• Gustavo Alberto Mirabal, MEDICAL STUDENT MS4
• Miracle Care HC LLC
• Miracle Home Care, Inc.
• Miracle One Physical Therapy LLC
• Abigail Miramon Urias
• Charles William Miriani
• Marah Leonie Mischakoff, MA, LPC
• Misfits Regrowth Counseling PLLC

• Physical Therapy Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapy Clinic/Center in Michigan

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