Organization Active NPI

Physical Therapy Group Inc.

  • Physical Therapy Clinic/Center
  • Lincoln Park, MI
National Provider Identifier
1457443855
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501008551 Issued in MI
Legal business name
PHYSICAL THERAPY GROUP INC.
Practice address
25880 Outer Dr
Lincoln Park, MI 48146-1553
Phone
(131) 338-8619
Fax
(124) 845-1051
NPI assigned
Sep 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mohammad Al-Hosaini Alian, PTNPI 1588837256
Title
President
Phone
(248) 790-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501008551 MI Primary

Addresses

Primary practice location

25880 Outer Dr
Lincoln Park, MI 48146-1553

Mailing address

425 Fox Hills Dr N
Bloomfield Hills, MI 48304-1309
Phone (124) 879-0644

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457443855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FOX HILLS DR N",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041309",
            "telephone_number": "124-879-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25880 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461553",
            "telephone_number": "131-338-8619",
            "fax_number": "124-845-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALIAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "AL-HOSAINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "12487906444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501008551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.