John Carlo Agalo-Os
Individual provider Active NPI Physical Therapist · Redford, MI
NPI 1639593296 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1639593296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501011938 (MI)
- Practice address
- 25106 W 6 Mile Rd
Redford, MI 48240-2706 - Phone
- (313) 541-1172
- NPI assigned
- Feb 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011938 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Home Health Care, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011938 | MI | Yes |
Addresses
Primary practice location
25106 W 6 Mile Rd
Redford, MI 48240-2706
Mailing address
25106 W 6 Mile Rd
Redford, MI 48240-2706
Phone (313) 541-1172
Other providers in Redford, MI
- Casita Adams
- Gayland Adkins
- Advance Therapy & Rehab Inc
- Advanced Diagnostics Laboratory, PLLC
- Advanced Home Help Care, Inc
- Erika Joyclyn Marie Ahmad
- Shabana Najmi Ahmed
- Olatunbosun Ajenifujah
- Hassan Ali Akel
- Onome Akise
All providers in Redford, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.