Soul Physical Therapy Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

E45732 Issued in MI

Legal business name

SOUL PHYSICAL THERAPY CENTER LLC

Practice address

6558 Greenfield Rd
Dearborn, MI 48126-1701

Phone

(313) 581-1155

Fax

(313) 581-1144

NPI assigned

Oct 9, 2014

Last updated

Oct 9, 2014By 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

Miss Amy Khayat

Title

Manager

Phone

(313) 581-1155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1811391543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6558 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261701",
            "telephone_number": "313-581-1155",
            "fax_number": "313-581-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6558 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261701",
            "telephone_number": "313-581-1155",
            "fax_number": "313-581-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL PHYSICAL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "KHAYAT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-581-1155",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "E45732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Robert Sorini, D.O.
• Kathryn Elise Sorini, AGACNP-BC
• Hoda Souhouba
• Zahra Soukar-Kadour
• Soul Physical Therapy Center
• Mamoun Mousa Souleiman, MD
• Mark Soutar, LLP
• South Dearborn Pharmacy,Inc (south dearborn pharmacy)
• South Shore Oms PC
• Abigail Channing Southard, MSN, CNM, C-EFM

• Physical Therapy Clinic/Center in Dearborn, MI
• Providers in Dearborn, 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 9, 2014; 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.