Organization Active NPI

Primal Recovery PT & Performance

  • Orthopedic Physical Therapist
  • Livonia, MI
National Provider Identifier
1295696185
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
PRIMAL RECOVERY PT & PERFORMANCE
Practice address
36600 Plymouth Rd
Livonia, MI 48150-1127
Phone
(248) 814-2029
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Zachary Atwood, DPTNPI 1588444574
Title
Founder
Phone
(248) 814-2029

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

36600 Plymouth Rd
Livonia, MI 48150-1127

Mailing address

36600 Plymouth Rd
Livonia, MI 48150-1127

Other practice location 1

783 Industrial Ct
Bloomfield Township, MI 48302-0381
Phone (248) 814-2029

National Provider Directory

National Provider Directory

Locations

783 Industrial Ct
Bloomfield Township, MI 48302
Phone (248) 814-2029

36600 Plymouth Rd
Livonia, MI 48150
Phone (248) 814-2029

Practitioners & affiliated clinicians

Practitioners 3

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": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1295696185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36600 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36600 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501127",
            "telephone_number": "248-814-2029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "783 Industrial Ct",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Township",
            "state": "MI",
            "postal_code": "483020381",
            "country_code": "US",
            "telephone_number": "248-814-2029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMAL RECOVERY PT & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "248-814-2029",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.