Active NPI
Mercy Physical Therapy Inc
- Physical Therapy Clinic/Center
- W Bloomfield, MI
National Provider Identifier
1538560784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | MI | PENDING |
National Provider Directory
National Provider DirectoryNPI 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.