One on One Physical Rehabilitation LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ONE ON ONE PHYSICAL REHABILITATION LLC

Practice address

21331 Kelly Rd.
Eastpointe, MI 48021-3265

Phone

(248) 968-3844

Fax

(248) 968-3848

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Omar Richardson

Title

Owner

Phone

(313) 740-9247

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1740538446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21331 KELLY RD.",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213265",
            "telephone_number": "248-968-3844",
            "fax_number": "248-968-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21331 KELLY RD.",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213265",
            "telephone_number": "248-968-3844",
            "fax_number": "248-968-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE ON ONE PHYSICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-740-9247"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Eastpointe, MI
• Providers in Eastpointe, 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 Aug 12, 2015; 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.