Organization Active NPI

Paramount Physical Rehab LLC

  • Physical Therapist
  • West Bloomfield, MI
National Provider Identifier
1518524974
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PARAMOUNT PHYSICAL REHAB LLC
Practice address
6219 Eastbrooke
West Bloomfield, MI 48322-1050
Phone
(248) 508-9787
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Alexandra Elizabeth Wujczyk
Title
President
Phone
(248) 508-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6219 Eastbrooke
West Bloomfield, MI 48322-1050

Mailing address

6219 Eastbrooke
West Bloomfield, MI 48322-1050
Phone (248) 508-9787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1518524974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 EASTBROOKE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221050",
            "telephone_number": "248-508-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6219 EASTBROOKE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221050",
            "telephone_number": "248-508-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT PHYSICAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "WUJCZYK",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-508-9787"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.