Organization Active NPI

Livewell WF Inc

  • Physical Therapy Clinic/Center
  • Clarkston, MI
National Provider Identifier
1316769805
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIVEWELL WF INC
Practice address
7138 Sashabaw Rd
Clarkston, MI 48348-4738
Phone
(248) 771-5000
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Stephen Gabbara
Title
President
Phone
(248) 771-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7138 Sashabaw Rd
Clarkston, MI 48348-4738

Mailing address

2350 Franklin Rd Ste 240
Bloomfield Hills, MI 48302-0383
Phone (248) 313-8801

National Provider Directory

National Provider Directory

Locations

2350 Franklin Rd
Ste 240
Bloomfield Hills, MI 48302

7138 Sashabaw Rd
Clarkston, MI 48348
Phone (248) 771-5000

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1316769805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 FRANKLIN RD STE 240",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020383",
            "telephone_number": "248-313-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484738",
            "telephone_number": "248-771-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL WF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "GABBARA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-771-5000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.