Organization Active NPI

Universal Physical Therapy,PC

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1487871448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007293 Issued in MI
Legal business name
UNIVERSAL PHYSICAL THERAPY,PC
Practice address
2565 S Rochester Rd # a
Rochester Hills, MI 48307-4472
Phone
(248) 844-2644
Fax
(248) 844-2645
NPI assigned
Apr 19, 2007
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. Emad Abdelati Elmarakby, DPTNPI 1053478685
Title
President
Phone
(248) 844-2644

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501007293 MI Primary

Addresses

Primary practice location

2565 S Rochester Rd # a
Rochester Hills, MI 48307-4472

Mailing address

6316 Brookings Dr
Troy, MI 48098-1862
Phone (248) 879-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070516000028 MI Part B Supplier - Clinic/Group Practice 1951408541 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

2565 S Rochester Rd
#A
Rochester Hills, MI 48307
Phone (248) 844-2644

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487871448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 BROOKINGS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981862",
            "telephone_number": "248-879-7510",
            "fax_number": "248-844-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 S ROCHESTER RD # A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074472",
            "telephone_number": "248-844-2644",
            "fax_number": "248-844-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PHYSICAL THERAPY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELMARAKBY",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "ABDELATI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-844-2644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, 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.
  • 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.