Organization Active NPI

Theraflex Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1336647700
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERAFLEX PHYSICAL THERAPY LLC
Practice address
20180 W 12 Mile Rd Ste 100
Southfield, MI 48076-5412
Phone
(248) 223-9230
Fax
(248) 223-9244
NPI assigned
Jan 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Ghada Makki
Title
President
Phone
(248) 223-9230

Specialties & licenses 1

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

Addresses

Primary practice location

20180 W 12 Mile Rd Ste 100
Southfield, MI 48076-5412

Mailing address

20180 W 12 Mile Rd Ste 100
Southfield, MI 48076-5412
Phone (248) 223-9230

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1336647700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20180 W 12 MILE RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765412",
            "telephone_number": "248-223-9230",
            "fax_number": "248-223-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20180 W 12 MILE RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765412",
            "telephone_number": "248-223-9230",
            "fax_number": "248-223-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAFLEX PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-223-9230"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.