Integrated Physical Therapy Solutions LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501009516 Issued in MI

Legal business name

INTEGRATED PHYSICAL THERAPY SOLUTIONS LLC

Practice address

49357 Pontiac TRL
Suite #104
Wixom, MI 48393-2068

Phone

(586) 823-6906

NPI assigned

Jan 4, 2010

Last updated

Jul 24, 2010By 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

Mrs. Eileen Palad Ramos, PT

Title

Physical Therapist

Phone

(586) 823-6906

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279929600000",
    "number": "1760712319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 TRAILSIDE BLVD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483931587",
            "telephone_number": "586-823-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49357 PONTIAC TRL",
            "address_2": "SUITE #104",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932068",
            "telephone_number": "586-823-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHYSICAL THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-07-24",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "PALAD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "586-823-6906",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501009516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Wixom, MI
• Providers in Wixom, 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 Jul 24, 2010; 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.