Active NPI
Paragon Physical Therapy and Rehab LLC
- Physical Therapy Clinic/Center
- Clinton TWP, MI
National Provider Identifier
1356031397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.