Phoenix Medical Associates LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHOENIX MEDICAL ASSOCIATES LLC

Practice address

22150 Greenfield Rd Ste 101
Oak Park, MI 48237-2535

Phone

(248) 591-4158

NPI assigned

Sep 4, 2013

Last updated

Sep 4, 2013By 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

Mr. Frank Middleton

Title

Director

Phone

(248) 591-4158

Specialties & licenses 1

Addresses

Tax ID family

Phoenix Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Medical Associates

  • Adult Day Care Clinic/Center
  • Oak Park, MI
  • NPI 1366792087
  NPD tax ID

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1316372774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD STE 101",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-591-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD STE 101",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-591-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-591-4158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Rehab Services P.C.
• Destiny Peterson, PHD
• Paul M Petre, M.D.
• Eman Petros, GENERAL DENTIST
• Phoenix Medical Associates
• Physical Medicine& Rehabilitation Consultant and Pain Management,P.C.
• Physical Rehab Service LLC
• Alanna Doria Piche
• Mary Pietrzyk, OT
• Heather Pillars

• Physical Therapist in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.