Organization Active NPI

Michigan Physical Therapy & Rehab Center, Inc.

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1346459666
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MICHIGAN PHYSICAL THERAPY & REHAB CENTER, INC.
Practice address
23800 W 10 Mile Rd
Suite 236
Southfield, MI 48033-3176
Phone
(248) 356-5117
Fax
(248) 356-4667
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Mr. George Andooparampil, P.T.
Title
Owner
Phone
(248) 356-5117

Specialties & licenses 1

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

Addresses

Primary practice location

23800 W 10 Mile Rd
Suite 236
Southfield, MI 48033-3176

Mailing address

23800 W 10 Mile Rd
Suite 236
Southfield, MI 48033-3176
Phone (248) 356-5117

Other identifiers 1

IdentifierTypeStateIssuer
650F328770OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

23800 W 10 Mile Rd
Ste 236
Southfield, MI 48033
Phone (248) 356-5117

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1346459666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD",
            "address_2": "SUITE 236",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333176",
            "telephone_number": "248-356-5117",
            "fax_number": "248-356-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD",
            "address_2": "SUITE 236",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333176",
            "telephone_number": "248-356-5117",
            "fax_number": "248-356-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PHYSICAL THERAPY & REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "ANDOOPARAMPIL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-356-5117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650F328770",
            "state": "MI"
        }
    ],
    "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 Mar 7, 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.