International Physical Therapy & Rehabilitation, I

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

INTERNATIONAL PHYSICAL THERAPY & REHABILITATION, I

Practice address

39393 Van Dyke Ave
Suite 103-a
Sterling Heights, MI 48313-4635

Phone

(586) 698-2168

Fax

(586) 698-2173

NPI assigned

Sep 28, 2006

Last updated

Sep 7, 2016By 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

Sohail Khan, P.T.A.

Title

President

Phone

(586) 698-2168

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1760574800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39393 VAN DYKE AVE",
            "address_2": "SUITE 103-A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134635",
            "telephone_number": "586-698-2168",
            "fax_number": "586-698-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39393 VAN DYKE AVE",
            "address_2": "SUITE 103-A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134635",
            "telephone_number": "586-698-2168",
            "fax_number": "586-698-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL PHYSICAL THERAPY & REHABILITATION, I",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-698-2168",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.