Organization Active NPI

Physioflex PLLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1699106377
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501004921 Issued in MI
Legal business name
PHYSIOFLEX PLLC
Practice address
26250 Northwestern Hwy
Southfield, MI 48076-3903
Phone
(248) 440-7102
Fax
(248) 595-8854
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Ahmad Taha Abulabon, PT
Title
Presedent
Phone
(248) 440-7102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501004921 MI Primary

Addresses

Primary practice location

26250 Northwestern Hwy
Southfield, MI 48076-3903

Mailing address

26250 Northwestern Hwy
Southfield, MI 48076-3903
Phone (248) 440-7102

National Provider Directory

National Provider Directory

Locations

26250 Northwestern Hwy
Southfield, MI 48076
Phone (248) 440-7102

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1699106377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763903",
            "telephone_number": "248-440-7102",
            "fax_number": "248-595-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763903",
            "telephone_number": "248-440-7102",
            "fax_number": "248-595-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOFLEX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "ABULABON",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "TAHA",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "248-440-7102",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501004921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.