NPIMap

Organization Active NPI

Dearborn Physical Therapy LTD.

  • Physical Therapist
  • Waterford, MI
National Provider Identifier
1316622806
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DEARBORN PHYSICAL THERAPY LTD.
Practice address
1187 W Huron St
Waterford, MI 48328-3736
Phone
(248) 977-4594
NPI assigned
Jun 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Richard Binstein
Title
Evp
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1187 W Huron St
Waterford, MI 48328-3736

Mailing address

1187 W Huron St
Waterford, MI 48328-3736
Phone (248) 977-4594

Other names 1

  • Advanced Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161122000452 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668383910 Receives reassigned benefits from 12 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Troy, MI; Waterford, MI

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dearborn Physical Therapy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

555 W 14 Mile Rd
#A
Clawson, MI 48017
Phone (248) 280-2089

23550 Park St
Ste 101
Dearborn, MI 48124
Phone (313) 724-0136

46401 Romeo Plank Rd
Ste 5
Macomb, MI 48044
Phone (586) 333-5704

1291 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-0300

1422 N Monroe St
Monroe, MI 48162
Phone (734) 243-0300

1701 South Blvd E
Ste 110
Rochester Hills, MI 48307
Phone (248) 853-0803

29950 Telegraph Rd
Southfield, MI 48034
Phone (248) 663-1906

27207 Lahser Rd
Ste 104
Southfield, MI 48034
Phone (248) 663-1906

15245 Dix Toledo Rd
Southgate, MI 48195
Phone (734) 284-6582

29500 Ryan Rd
Ste Ab
Warren, MI 48092
Phone (586) 576-0780

33200 W 14 Mile Rd
Ste 160
West Bloomfield, MI 48322
Phone (248) 538-7607

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1316622806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283736",
            "telephone_number": "248-977-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283736",
            "telephone_number": "248-977-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN PHYSICAL THERAPY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.