Jeyfil Ayudante, P.T.
Individual provider Active NPI Physical Therapist · Brighton, MI
NPI 1649970260 · NPPES record last updated Mar 3, 2023
Key facts
- NPI
- 1649970260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501008141 (MI)
- Practice address
- 1014 E Grand River Ave
Brighton, MI 48116-1804 - Phone
- (877) 367-9772
- Fax
- (314) 985-5825
- NPI assigned
- Mar 3, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501008141 | MI | Yes |
Addresses
Primary practice location
1014 E Grand River Ave
Brighton, MI 48116-1804
Mailing address
59347 Peters Barn Dr
South Lyon, MI 48178-8359
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All providers in Brighton, 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 Mar 3, 2023. 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.