Redford Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REDFORD PHYSICAL THERAPY LLC

Practice address

25136 W 6 Mile Rd
Redford, MI 48240-2102

Phone

(248) 399-8282

NPI assigned

Oct 14, 2020

Last updated

Oct 28, 2020By 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

Zeinab Abdallah Makki

Title

Ceo

Phone

(313) 475-5007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1700484482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25136 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25136 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402102",
            "telephone_number": "248-399-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDFORD PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "ZEINAB",
        "authorized_official_middle_name": "ABDALLAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-475-5007"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redford Dental Group
• Redford Discount Pharmacy PLLC (Redford Discount Pharmacy)
• Redford Headquarters, Inc.
• Redford Med Equipment Inc
• Redford Mi Opco LLC
• Redford Primary Care PC
• Redford Spinal Care PC
• Redford Village Mi Wellness LLC
• Anthony Redmond, L.M.S.W
• Lynn Michelle Reed

• Physical Therapy Clinic/Center in Redford, MI
• Providers in Redford, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.