Organization Active NPI

San Juan Physical Therapy Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Troy, MI
National Provider Identifier
1407092828
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SAN JUAN PHYSICAL THERAPY CONSULTANTS PLLC
Practice address
1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545
Phone
(248) 649-2323
Fax
(248) 649-5998
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Maria Sanjuan, PT
Title
President
Phone
(248) 649-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MI Primary

Addresses

Primary practice location

1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545

Mailing address

1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545
Phone (248) 649-2323

Other names 1

  • Dynamic Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

27995 Halsted Rd
Ste 100
Farmington Hills, MI 48331
Phone (248) 848-9464

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1407092828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W BIG BEAVER RD",
            "address_2": "SUITE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843545",
            "telephone_number": "248-649-2323",
            "fax_number": "248-649-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W BIG BEAVER RD",
            "address_2": "SUITE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843545",
            "telephone_number": "248-649-2323",
            "fax_number": "248-649-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN PHYSICAL THERAPY CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "SANJUAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-649-2323",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.