NPIMap

Organization Active NPI

New Life Physical Therapy Services LLC

  • Physical Therapist
  • Center Line, MI
National Provider Identifier
1609152339
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012206 Issued in MI
Legal business name
NEW LIFE PHYSICAL THERAPY SERVICES LLC
Practice address
25529 Van Dyke Ave
Suite a-1
Center Line, MI 48015-1848
Phone
(586) 782-7061
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Mr. Nirav Anilkumar Shah, RPTNPI 1417114281
Title
President
Phone
(586) 782-7061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501012206 MI Primary

Addresses

Primary practice location

25529 Van Dyke Ave
Suite a-1
Center Line, MI 48015-1848

Mailing address

25529 Van Dyke Ave
Suite a-1
Center Line, MI 48015-1848
Phone (586) 782-7061

National Provider Directory

National Provider Directory

Locations

25529 Van Dyke Ave
Ste A1
Center Line, MI 48015
Phone (586) 782-7061

Practitioners & affiliated clinicians

Practitioners 3

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": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1609152339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25529 VAN DYKE AVE",
            "address_2": "SUITE A-1",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151848",
            "telephone_number": "586-782-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25529 VAN DYKE AVE",
            "address_2": "SUITE A-1",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151848",
            "telephone_number": "586-782-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_middle_name": "ANILKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-782-7061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.