Physical Therapy Services, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PHYSICAL THERAPY SERVICES, INC.

Practice address

26400 W 12 Mile Rd Ste 25
Southfield, MI 48034-1774

Phone

(248) 565-4000

Fax

(248) 565-4020

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Pankaj Mamtora, P.T.NPI 1104123561

Title

President

Phone

(248) 565-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Tax ID family

Physical Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physical Therapy Services, Inc.

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1255591855
  NPD tax ID

Locations

Practitioners 5

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

• Pankaj Mamtora, R.P.T.

  • Physical Therapist
  • Southfield, MI
  • NPI 1104123561
  Medicare reassignment NPD Authorized official
• Sameer Pokharel

  • Physical Therapist
  • Southfield, MI
  • NPI 1851872709
  Medicare reassignment NPD
• Dhanarani Navarose, PT

  • Physical Therapy Clinic/Center
  • Westland, MI
  • NPI 1669595062
  NPD
• Punam Sanmukhbhai Ghadia, PT

  • Physical Therapist
  • Livonia, MI
  • NPI 1366802316
  NPD (past)
• Jimmy Bhadresh Kumar Kotak, PTA

  • Physical Therapy Assistant
  • Livonia, MI
  • NPI 1952761595
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1639292014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 25",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341774",
            "telephone_number": "248-565-4000",
            "fax_number": "248-565-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 25",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341774",
            "telephone_number": "248-565-4000",
            "fax_number": "248-565-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MAMTORA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-565-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Medicine and Wellness PC
• Physical Medicine Consultants PC
• Physical Medicine, P.C.
• Physical Therapy and Fitness LLC
• Physical Therapy Services, Inc.
• Physical Therapy Solutions Service
• Physical Therapy Southfield, P.C.
• Physical Therapy Team, P.C.
• Physical Therapy Works, LLC
• Physician Connect PLLC

• Rehabilitation Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.