Organization Active NPI

Mercy Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • W Bloomfield, MI
National Provider Identifier
1538560784
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MERCY PHYSICAL THERAPY INC
Practice address
5961 Perrytown CT
W Bloomfield, MI 48322-1502
Phone
(248) 250-2627
NPI assigned
Sep 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Mrs. Ban Dally
Title
Owner
Phone
(248) 250-2627

Specialties & licenses 1

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

Addresses

Primary practice location

5961 Perrytown CT
W Bloomfield, MI 48322-1502

Mailing address

5961 Perrytown CT
W Bloomfield, MI 48322-1502
Phone (248) 250-2627

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherMIPENDING

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1538560784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 PERRYTOWN CT",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221502",
            "telephone_number": "248-250-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 PERRYTOWN CT",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221502",
            "telephone_number": "248-250-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "DALLY",
        "authorized_official_first_name": "BAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-250-2627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.