Organization Active NPI

Maple Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Clawson, MI
National Provider Identifier
1417872409
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MAPLE PHYSICAL THERAPY LLC
Practice address
47 W Maple Rd
Clawson, MI 48017-1109
Phone
(248) 843-4553
NPI assigned
Aug 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Wisam Afan
Title
Owner
Phone
(248) 843-4553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

47 W Maple Rd
Clawson, MI 48017-1109

Mailing address

47 W Maple Rd
Clawson, MI 48017-1109

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1417872409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W MAPLE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W MAPLE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171109",
            "telephone_number": "248-843-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "AFAN",
        "authorized_official_first_name": "WISAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-843-4553"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.