Organization Active NPI

Paragon Physical Therapy and Rehab LLC

  • Physical Therapy Clinic/Center
  • Clinton TWP, MI
National Provider Identifier
1356031397
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PARAGON PHYSICAL THERAPY AND REHAB LLC
Practice address
15945 19 Mile Rd
Suite B21
Clinton TWP, MI 48038
Phone
(248) 970-1153
Fax
(248) 254-3951
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Ali Rathur
Title
Cco
Phone
(248) 765-4004

Specialties & licenses 1

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

Addresses

Primary practice location

15945 19 Mile Rd
Suite B21
Clinton TWP, MI 48038

Mailing address

33469 W 14 Mile Rd
Suite 120
Farmington Hills, MI 48331
Phone (248) 765-4004

National Provider Directory

National Provider Directory

Locations

33469 W 14 Mile Rd
Ste 120
Farmington Hills, MI 48331
Phone (248) 254-3950

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1356031397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33469 W 14 MILE RD",
            "address_2": "SUITE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48331",
            "telephone_number": "248-765-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD",
            "address_2": "SUITE B21",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "248-970-1153",
            "fax_number": "248-254-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON PHYSICAL THERAPY AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "RATHUR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "248-765-4004"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.