Organization Active NPI

Axxess Physical Therapy and Rehab LP

  • Physical Therapy Clinic/Center
  • Detroit, MI
National Provider Identifier
1538674841
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AXXESS PHYSICAL THERAPY AND REHAB LP
Practice address
19915 James Couzens Fwy
Detroit, MI 48235-1840
Phone
(805) 701-6539
NPI assigned
Dec 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Mr. Mandeep Singh
Title
Limited Partner
Phone
(805) 701-6539

Specialties & licenses 1

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

Addresses

Primary practice location

19915 James Couzens Fwy
Detroit, MI 48235-1840

Mailing address

4623 Lavender Ave
Windsor, ONTARIO N9G 3A9
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180831000907 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183974785 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI; Farmington Hills, MI; Hazel Park, MI

National Provider Directory

National Provider Directory

Locations

19915 James Couzens Fwy
Detroit, MI 48235
Phone (248) 403-0282

116 W 8 Mile Rd
Hazel Park, MI 48030
Phone (248) 541-7606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1538674841",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "4623 LAVENDER AVE",
            "city": "WINDSOR",
            "state": "ONTARIO",
            "postal_code": "N9G 3A9"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19915 JAMES COUZENS FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351840",
            "telephone_number": "805-701-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXXESS PHYSICAL THERAPY AND REHAB LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "LIMITED PARTNER",
        "authorized_official_telephone_number": "805-701-6539",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.