Imotion Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IMOTION PHYSICAL THERAPY LLC

Practice address

25775 W 10 Mile Rd Ste C
Southfield, MI 48033-4856

Phone

(586) 822-0007

NPI assigned

Feb 24, 2020

Last updated

Mar 3, 2020By 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

Kaushik Patel

Title

Credentialing

Phone

(586) 822-0007

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1487288916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 1645",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254525",
            "telephone_number": "248-283-1100",
            "fax_number": "248-283-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25775 W 10 MILE RD STE C",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334856",
            "telephone_number": "586-822-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMOTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAUSHIK",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "586-822-0007"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.