Dearborn Physical Therapy LTD.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DEARBORN PHYSICAL THERAPY LTD.

Practice address

26025 Lahser Rd
Suite 100
Southfield, MI 48033-2601

Phone

(248) 663-1906

Fax

(248) 663-1903

NPI assigned

Jun 10, 2006

Organization subpart

Yes

Parent organization

DEARBORN PHYSICAL THERAPY LTD.As reported in NPPES

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

Authorized official

Name

Janna P. King, JD

Title

VP/Authorized Official

Phone

(713) 297-7000

Specialties & licenses 2

Addresses

Other names 1

• Advanced Physical Therapy (Ortho) Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dearborn Physical Therapy LTD

  • Physical Therapy Clinic/Center
  • Grosse Pointe Woods, MI
  • NPI 1619919024

  O20030904000010

  Same enrollment
• Dearborn Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • Rochester Hills, MI
  • NPI 1083658397

  O20030904000010

  Same enrollment
• Dearborn Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • Trenton, MI
  • NPI 1215979943

  O20030904000010

  Same enrollment
• Dearborn Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • West Bloomfield, MI
  • NPI 1285676692

  O20030904000010

  Same enrollment
• Dearborn Physical Therapy LTD.

  • Rehabilitation Clinic/Center
  • Dearborn, MI
  • NPI 1306883848

  O20030904000010

  Same enrollment
• Dearborn Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • Auburn Hills, MI
  • NPI 1427090182

  O20030904000010

  Same enrollment
• Dearborn Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • Monroe, MI
  • NPI 1639113947

  O20030904000010

  Same enrollment
• Dearborn Physical Therapy LTD.

  • Physical Therapist
  • Southgate, MI
  • NPI 1902847833

  O20030904000010

  Same enrollment
• Dearborn Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • Berkley, MI
  • NPI 1942244702

  O20030904000010

  Same enrollment

Part of

Dearborn Physical Therapy

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1730120650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422447",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26025 LAHSER RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332601",
            "telephone_number": "248-663-1906",
            "fax_number": "248-663-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN PHYSICAL THERAPY LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEARBORN PHYSICAL THERAPY LTD.",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Therapy (Ortho)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Flora Ann Dean, MD
• George A Dean, M.D.
• Monizue Dean, LMT
• Debra Deanes, PHD
• Dearborn Physical Therapy LTD.
• Dai-Shawn Le-Ann Dearing
• Paul Dearing
• Gregory Deason
• Tiffany Deboer
• Tanisha Decaire

• Physical Therapy Clinic/Center in Southfield, MI
• Providers in Southfield, 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 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.