Organization Active NPI

Operative Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1346721057
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPERATIVE 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
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Mr. Alex Bazzi
Title
Billing/Rep
Phone
(248) 739-6444

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

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1346721057",
    "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": "OPERATIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "BILLING/REP",
        "authorized_official_telephone_number": "248-739-6444",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Aug 22, 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.