Organization Active NPI

Metropolitan Physical Therapy Agency, Inc.

  • Health Service Clinic/Center
  • Southgate, MI
National Provider Identifier
1649205121
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Oct 29, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30710OtherMIBCN MI
30710OtherMIBCBSMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.