Organization Active NPI

Citizen Physical Therapy PLC

  • Physical Therapist
  • Dearborn, MI
National Provider Identifier
1518575018
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CITIZEN PHYSICAL THERAPY PLC
Practice address
530 N Telegraph Rd
Dearborn, MI 48128-1658
Phone
(248) 730-2312
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Fazal Khaliq, D.P.T
Title
Physical Therapy
Phone
(248) 730-2312

Specialties & licenses 1

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

Addresses

Primary practice location

530 N Telegraph Rd
Dearborn, MI 48128-1658

Mailing address

265 Main St Ste B
Belleville, MI 48111-3284
Phone (248) 730-2312

National Provider Directory

National Provider Directory

Locations

265 Main St
Ste B
Belleville, MI 48111
Phone (248) 730-2312

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1518575018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 MAIN ST STE B",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113284",
            "telephone_number": "248-730-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281658",
            "telephone_number": "248-730-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZEN PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "KHALIQ",
        "authorized_official_first_name": "FAZAL",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "248-730-2312",
        "authorized_official_credential": "D.P.T"
    },
    "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 Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.