Active NPI
Operative Physical Therapy LLC
- Physical Therapy Clinic/Center
- Southfield, MI
National Provider Identifier
1346721057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.