Excell Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501007036 Issued in MI

Legal business name

EXCELL THERAPY PLLC

Practice address

40761 Deer Pines Dr
Canton, MI 48188-2233

Phone

(734) 934-4537

Fax

(734) 467-9152

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Samuel L Alexander, PT

Title

Owner

Phone

(734) 934-4537

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1336454941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40761 DEER PINES DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882233",
            "telephone_number": "734-934-4537",
            "fax_number": "734-467-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40761 DEER PINES DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882233",
            "telephone_number": "734-934-4537",
            "fax_number": "734-467-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-934-4537",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Canton, MI
• Providers in Canton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.