Organization Active NPI

Pulse Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Dearborn, MI
National Provider Identifier
1629582432
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
F2654C Issued in MI
Legal business name
PULSE PHYSICAL THERAPY LLC
Practice address
15400 Michigan Ave
Dearborn, MI 48126-3491
Phone
(313) 903-5151
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Samar Ghosn
Title
Manager
Phone
(313) 903-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X F2654C MI Primary

Addresses

Primary practice location

15400 Michigan Ave
Dearborn, MI 48126-3491

Mailing address

15400 Michigan Ave
Dearborn, MI 48126-3491
Phone (313) 903-5151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1629582432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263491",
            "telephone_number": "313-903-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263491",
            "telephone_number": "313-903-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "GHOSN",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-903-5151"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "F2654C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.