Australian Institute of Manual Therapy, PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501010874 Issued in MI

Legal business name

AUSTRALIAN INSTITUTE OF MANUAL THERAPY, PLLC

Doing business as

Australian Manual Physical Therapy

Practice address

120 Catalpa Dr
Royal Oak, MI 48067-1242

Phone

(248) 703-9147

Fax

(248) 556-5543

NPI assigned

Apr 16, 2008

Last updated

Sep 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Angus Jonothan Williams, PHYSICAL THERAPIST

Title

Owner

Phone

(734) 834-2319

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Australian Manual Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1699949180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CATALPA DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671242",
            "telephone_number": "248-703-9147",
            "fax_number": "248-556-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CATALPA DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671242",
            "telephone_number": "248-703-9147",
            "fax_number": "248-556-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTRALIAN INSTITUTE OF MANUAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANGUS",
        "authorized_official_middle_name": "JONOTHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-834-2319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501010874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "650F360770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Australian Manual Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joseph Auty, CRNA
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• Courtney Jennifer Avromov, PA

• Orthopedic Physical Therapist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.