NPIMap

Organization Active NPI

Physio-Dynamics, LLC

  • Physical Therapist
  • Dearborn Heights, MI
National Provider Identifier
1366634560
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIO-DYNAMICS, LLC
Practice address
25147 W Warren St
Suite 2
Dearborn Heights, MI 48127-2198
Phone
(313) 277-5508
Fax
(313) 277-5535
NPI assigned
Aug 13, 2007
Last updated
Oct 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. Amar N. Patel, DPT, PTNPI 1184737819
Title
Director/Owner
Phone
(313) 277-5508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501009549 MI
Physical Therapist 225100000X MI Primary

Addresses

Primary practice location

25147 W Warren St
Suite 2
Dearborn Heights, MI 48127-2198

Mailing address

25147 W Warren St
Suite 2
Dearborn Heights, MI 48127-2198
Phone (313) 277-5508

National Provider Directory

National Provider Directory

Locations

25147 W Warren St
Ste 2
Dearborn Heights, MI 48127
Phone (313) 277-5508

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1366634560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25147 W WARREN ST",
            "address_2": "SUITE 2",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272198",
            "telephone_number": "313-277-5508",
            "fax_number": "313-277-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25147 W WARREN ST",
            "address_2": "SUITE 2",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272198",
            "telephone_number": "313-277-5508",
            "fax_number": "313-277-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO-DYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMAR",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "313-277-5508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009549",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.