Active NPI
Metropolitan Physical Therapy Agency, Inc.
- Health Service Clinic/Center
- Southgate, MI
National Provider Identifier
1649205121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- METROPOLITAN PHYSICAL THERAPY AGENCY, INC.
- Practice address
- 13636 Dix Toledo Rd
Suite B
Southgate, MI 48195-2432 - Phone
- (734) 283-2262
- Fax
- (248) 808-6268
- NPI assigned
- Jul 12, 2006
- 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
- Ms. Hina T Qazi
- Title
- President
- Phone
- (734) 512-8009
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | MI | Primary | |
| Physical Therapy Clinic/Center | 261QP2000X | 1482188 | MI |
Addresses
Primary practice location
13636 Dix Toledo Rd
Suite B
Southgate, MI 48195-2432
Mailing address
13636 Dix Toledo Rd
Suite B
Southgate, MI 48195-2432
Phone (734) 283-2262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30710 | Other | MI | BCN MI |
| 30710 | Other | MI | BCBSMI |
National Provider Directory
National Provider DirectoryLocations
25150 Ford Rd
Ste 110B
Dearborn Heights, MI 48127
Phone (313) 453-7100
16250 Northland Dr
Ste 130
Southfield, MI 48075
Phone (248) 559-3377
13636 Dix Toledo Rd
Ste B
Southgate, MI 48195
Phone (734) 283-2262
27260 Eureka Rd
Ste B2
Taylor, MI 48180
Phone (734) 992-2129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446076800000",
"number": "1649205121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13636 DIX TOLEDO RD",
"address_2": "SUITE B",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952432",
"telephone_number": "734-283-2262",
"fax_number": "248-808-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13636 DIX TOLEDO RD",
"address_2": "SUITE B",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952432",
"telephone_number": "734-283-2262",
"fax_number": "248-808-6268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN PHYSICAL THERAPY AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2015-10-29",
"status": "A",
"authorized_official_last_name": "QAZI",
"authorized_official_first_name": "HINA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-512-8009",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": "1482188",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN MI",
"identifier": "30710",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMI",
"identifier": "30710",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.