Active NPI
Pulse Physical Therapy LLC
- Physical Therapy Clinic/Center
- Dearborn, MI
National Provider Identifier
1629582432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- F2654C
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.