Organization Active NPI

Sterling Therapy Provider, LLC

  • Physical Therapy Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1659500296
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501011330 Issued in MI
Legal business name
STERLING THERAPY PROVIDER, LLC
Practice address
38765 Mound Rd
Ste. 101
Sterling Heights, MI 48310-3209
Phone
(586) 274-0750
Fax
(586) 274-0704
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Mr. Rolly Elaco G Elaco, PHYSICAL THERAPIST
Title
President/Ceo
Phone
(313) 729-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501011330 MI Primary

Addresses

Primary practice location

38765 Mound Rd
Ste. 101
Sterling Heights, MI 48310-3209

Mailing address

38765 Mound Rd
Ste. 101
Sterling Heights, MI 48310-3209
Phone (586) 274-0750

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1659500296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38765 MOUND RD",
            "address_2": "STE. 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103209",
            "telephone_number": "586-274-0750",
            "fax_number": "586-274-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38765 MOUND RD",
            "address_2": "STE. 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103209",
            "telephone_number": "586-274-0750",
            "fax_number": "586-274-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING THERAPY PROVIDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "ELACO",
        "authorized_official_first_name": "ROLLY ELACO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "313-729-0799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501011330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.