Restorative Physical Therapy Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESTORATIVE PHYSICAL THERAPY SERVICES, LLC

Practice address

17200 E 10 Mile Rd Ste 165
Eastpointe, MI 48021-3349

Phone

(586) 298-6909

Fax

(586) 298-6914

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Jawad Alam Karam, DPT

Title

Owner/Director

Phone

(248) 296-4053

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1346893682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD STE 165",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213349",
            "telephone_number": "586-298-6909",
            "fax_number": "586-298-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD STE 165",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213349",
            "telephone_number": "586-298-6909",
            "fax_number": "586-298-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "KARAM",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_middle_name": "ALAM",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "248-296-4053",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.