Organization Active NPI

Success Therapy Services

  • Physical Therapy Clinic/Center
  • Detroit, MI
National Provider Identifier
1497020978
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SUCCESS THERAPY SERVICES
Practice address
20055 Southfield Fwy
Detroit, MI 48235-2278
Phone
(313) 556-4031
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Maurice K Webb Gambrell Jr.
Title
Ma
Phone
(313) 556-4031

Specialties & licenses 1

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

Addresses

Primary practice location

20055 Southfield Fwy
Detroit, MI 48235-2278

Mailing address

20055 Southfield Fwy
Detroit, MI 48235-2278
Phone (313) 556-4031

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1497020978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20055 SOUTHFIELD FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352278",
            "telephone_number": "313-556-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 SOUTHFIELD FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352278",
            "telephone_number": "313-556-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "WEBB GAMBRELL",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MA",
        "authorized_official_telephone_number": "313-556-4031",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.