Active NPI
Citizen Physical Therapy PLC
- Physical Therapist
- Dearborn, MI
National Provider Identifier
1518575018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.