Organization Active NPI

Ultimate Rehab Center LLC

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1407679509
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ULTIMATE REHAB CENTER LLC
Practice address
15565 Northland Dr W Ste 208
Southfield, MI 48075-5310
Phone
(248) 234-8617
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Hassan Allie
Title
Member
Phone
(248) 234-8617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

15565 Northland Dr W Ste 208
Southfield, MI 48075-5310

Mailing address

15565 Northland Dr W Ste 208
Southfield, MI 48075-5310
Phone (248) 234-8617

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1407679509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR W STE 208",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755310",
            "telephone_number": "248-234-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR W STE 208",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755310",
            "telephone_number": "248-234-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "ALLIE",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-234-8617"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.