Active NPI
Omni Kinetics
- Physical Therapy Clinic/Center
- Plymouth, MI
National Provider Identifier
1760828131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- OMNI KINETICS
- Practice address
- 8768 N Territorial Rd
C/O Fox Hills
Plymouth, MI 48170-5022 - Phone
- (248) 229-8628
- NPI assigned
- May 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Graham A Polakoff, MS, ATC
- Title
- Owner Operator
- Phone
- (248) 229-8628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
8768 N Territorial Rd
C/O Fox Hills
Plymouth, MI 48170-5022
Mailing address
3602 Normandy Rd
Royal Oak, MI 48073-1651
Phone (248) 229-8628
National Provider Directory
National Provider DirectoryLocations
1025 Webster St
Birmingham, MI 48009
Phone (248) 399-8880
8768 N Territorial Rd
Plymouth, MI 48170
Phone (248) 229-8628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372377600000",
"number": "1760828131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 NORMANDY RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480731651",
"telephone_number": "248-229-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8768 N TERRITORIAL RD",
"address_2": "C/O FOX HILLS",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481705022",
"telephone_number": "248-229-8628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI KINETICS",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-13",
"last_updated": "2013-06-28",
"status": "A",
"authorized_official_last_name": "POLAKOFF",
"authorized_official_first_name": "GRAHAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER OPERATOR",
"authorized_official_telephone_number": "248-229-8628",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, ATC"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.