Prime One Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRIME ONE PHYSICAL THERAPY LLC

Practice address

1441 E Maple Rd Ste 102
Troy, MI 48083-4025

Phone

(313) 960-6767

Fax

(313) 357-3670

NPI assigned

Mar 9, 2018

Organization subpart

No

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

Authorized official

Name

Mohamad Bazzi

Title

Member

Phone

(313) 960-6767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1407359094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 E MAPLE RD STE 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834025",
            "telephone_number": "313-960-6767",
            "fax_number": "313-357-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 E MAPLE RD STE 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834025",
            "telephone_number": "313-960-6767",
            "fax_number": "313-357-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ONE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-960-6767"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita G Presas, RDN
• Prescribed Therapy LLC
• Julie L Price, MD
• Jeanne Jennae Pridemore, FNP-C
• Kehrie Priest
• Primecare Family Medicine Concierge Center PLLC
• Primis Healthcare Systems Inc
• Primucare Inc.
• Rachel Nicole Prisbe
• Prismatic Self Counseling LLC

• Physical Therapy Clinic/Center in Troy, MI
• Providers in Troy, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.