Age Strong, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AGE STRONG, LLC

Practice address

2655 E Oakley Park Rd Ste 202
Commerce Township, MI 48390-1684

Phone

(248) 812-9272

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Shelly Porter, PTNPI 1700117413

Title

Owner

Phone

(248) 812-9272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Shelly L Porter, P.T.

  • Physical Therapist
  • Commerce Township, MI
  • NPI 1700117413
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1306562962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 E OAKLEY PARK RD STE 202",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901684",
            "telephone_number": "248-812-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 E OAKLEY PARK RD STE 202",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901684",
            "telephone_number": "248-812-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE STRONG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-812-9272",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lee Adams, A.T.C.
• Adil Arabbo MD Consulting Service PLLC
• Adult Primary Care Associates, Inc.
• Affinity Home Care Agency Inc
• Affinity Private Care Dba Affinity Senior Care
• Firas Al-Khalili, D.D.S.
• Dalya K Al-Rawi, DOCTOR OF PHARMACY
• Amanda Alabawi, MD
• Max James Albulov
• Susan Terranova Aldea, OTR

• Physical Therapy Clinic/Center in Commerce Township, MI
• Providers in Commerce Township, 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 Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.