Physical Therapy Management Mi LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY MANAGEMENT MI LLC

Practice address

461 W Huron St
Suite # G70
Pontiac, MI 48341-1601

Phone

(248) 747-3497

Fax

(800) 980-3329

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Rawan Shkoukani

Title

Owner

Phone

(586) 202-6706

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1639618267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431361",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483431361",
            "telephone_number": "248-747-3497",
            "fax_number": "800-980-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST",
            "address_2": "SUITE # G70",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-747-3497",
            "fax_number": "800-980-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY MANAGEMENT MI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "SHKOUKANI",
        "authorized_official_first_name": "RAWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-202-6706"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duc Duy Pham, DDS
• Briana Phillips
• Robert Melvin Phillips Jr., MD
• Shawna Phillips
• Phoenix Residential Services
• Rahul Pidikiti, MD
• Delince Pierre-Louis
• Jamie Pietila
• Kimberly Ann Pike-Moesta, NURSE PRACTITIONER
• Priscilla Cossette Pino

• Physical Therapy Clinic/Center in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.