Organization Active NPI

Michigan Physical Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1598520686
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MICHIGAN PHYSICAL THERAPY SERVICES LLC
Practice address
26211 Central Park Blvd
Ste 116
Southfield, MI 48076-4107
Phone
(248) 482-3181
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Iram Q Tariq, OFFICE MANAGER
Title
Office Manager
Phone
(248) 482-3181

Specialties & licenses 1

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

Addresses

Primary practice location

26211 Central Park Blvd
Ste 116
Southfield, MI 48076-4107

Mailing address

26211 Central Park Blvd
Ste 116
Southfield, MI 48076-4107
Phone (248) 482-3181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1598520686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD",
            "address_2": "STE 116",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764107",
            "telephone_number": "248-482-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD",
            "address_2": "STE 116",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764107",
            "telephone_number": "248-482-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "IRAM",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-482-3181",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.