Organization Active NPI

Advance Physical Therapy and Rehab Center of Michigan LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1356028039
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADVANCE PHYSICAL THERAPY AND REHAB CENTER OF MICHIGAN LLC
Practice address
26211 Central Park Blvd Ste 116
Southfield, MI 48076-4107
Phone
(248) 291-7516
NPI assigned
Jul 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Iram Tariq
Title
Employee
Phone
(248) 291-7516

Specialties & licenses 1

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

Addresses

Primary practice location

26211 Central Park Blvd Ste 116
Southfield, MI 48076-4107

Mailing address

26211 Central Park Blvd Ste 116
Southfield, MI 48076-4107
Phone (248) 291-7516

National Provider Directory

National Provider Directory

Locations

26211 Central Park Blvd
Ste 116
Southfield, MI 48076
Phone (248) 291-7516

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1356028039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 116",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764107",
            "telephone_number": "248-291-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 116",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764107",
            "telephone_number": "248-291-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PHYSICAL THERAPY AND REHAB CENTER OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "IRAM",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "248-291-7516"
    },
    "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 Jul 3, 2023; 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.