Aquatic Solutions Physical Therapy LLC
Organization Active NPI Physical Therapy Clinic/Center · Oak Park, MI
NPI 1356855258 · NPPES record last updated Nov 30, 2017
Key facts
- NPI
- 1356855258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 5501012981 (MI)
- Legal business name
- AQUATIC SOLUTIONS PHYSICAL THERAPY LLC
- Practice address
- 25591 Coolidge Hwy
Oak Park, MI 48237-1306 - Phone
- (248) 850-7090
- NPI assigned
- Nov 30, 2017
- Organization subpart
- No
Authorized official
- Name
- Uzma Hussain, DPT
- Title
- Owner
- Phone
- (734) 578-5186
Practitioners 7
-
Alexander Ayar, DPT
-
Arwa Hasan-Debusschere, PT, DPT
-
Muhammad Shoaib, PHYSICAL THERAPIST
-
Bina Victor, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180220002873 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3779844485 |
Receives reassigned benefits from 6 practitioners Practice locations: Oak Park, MI; Redford, MI; Roseville, MI |
National Provider Directory
Locations
14501 Telegraph Rd
#R
Redford, MI 48239
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 5501012981 | MI | Yes |
Addresses
Primary practice location
25591 Coolidge Hwy
Oak Park, MI 48237-1306
Mailing address
7490 Kennington Blvd
West Bloomfield, MI 48322-3180
Other providers in Oak Park, MI
- Robin T Anderson
- Sheila Andrews
- Anesthesia Services Affiliates PLLC
- Angels of Love LLC
- Apexrx LLC
- Antonio Armstrong
- Anthony Arnold II
- Jennifer Arnold
- Nonie Arora
- Art of Kinetics Therapy LLC
All providers in Oak Park, MI · Physical Therapy Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.