Dearborn Physical Therapy LTD.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DEARBORN PHYSICAL THERAPY LTD.

Doing business as

Advanced Physical Therapy

Practice address

25511 Van Dyke Ave
Suite 200
Center Line, MI 48015-1834

Phone

(586) 578-9570

Fax

(586) 578-9577

NPI assigned

Jul 26, 2016

Last updated

Jul 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Binstein

Title

VP/Authorized Official

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

Other names 1

• Advanced Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dearborn Physical Therapy LTD

  dba Advanced Physical Therapy

  • Physical Therapist
  • Macomb, MI
  • NPI 1538604954

  O20161122000452

  Same enrollment
• Dearborn Physical Therapy LTD.

  dba Advanced Physical Therapy

  • Physical Therapist
  • Waterford, MI
  • NPI 1316622806

  O20161122000452

  Same enrollment
• Dearborn Physical Therapy LTD.

  dba Advanced Physical Therapy

  • Physical Therapist
  • Troy, MI
  • NPI 1598440083

  O20161122000452

  Same enrollment
• Dearborn Physical Therapy LTD.

  dba Advanced Physical Therapy (Monroe)

  • Physical Therapy Clinic/Center
  • Monroe, MI
  • NPI 1639113947

  O20161122000452

  Same enrollment

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1457804460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 VAN DYKE AVE",
            "address_2": "SUITE 200",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151834",
            "telephone_number": "586-578-9570",
            "fax_number": "586-578-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 VAN DYKE AVE",
            "address_2": "SUITE 200",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151834",
            "telephone_number": "586-578-9570",
            "fax_number": "586-578-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN PHYSICAL THERAPY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nabila Cyrene, DDS
• Briana Davis
• Horace J Davis, D.O
• Emmanuel Yapso Dealca, LMSW
• Shaylyn Yasmine Dean
• Jennifer Dearnley, TLLP
• Tessa Emily Debellis, PA-C
• Christopher Degenhardt
• Bonnie Deising
• Irina Dennert

• Physical Therapist in Center Line, MI
• Providers in Center Line, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.