Organization Active NPI

Ayres Physical Therapy PLLC

  • Physical Therapist
  • Waterford, MI
National Provider Identifier
1831946771
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AYRES PHYSICAL THERAPY PLLC
Practice address
1047 S Cass Lake Rd
Waterford, MI 48328-4509
Phone
(248) 702-4502
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Dr. Nicholas Craig Ayres, PT, DPTNPI 1609443464
Title
Owner/ Physical Therapist
Phone
(810) 338-9513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1047 S Cass Lake Rd
Waterford, MI 48328-4509

Mailing address

50374 Uptown Ave Unit 304
Canton, MI 48187-5919
Phone (810) 338-9513

National Provider Directory

National Provider Directory

Locations

1047 S Cass Lake Rd
Waterford, MI 48328
Phone (248) 702-4502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1831946771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50374 UPTOWN AVE UNIT 304",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875919",
            "telephone_number": "810-338-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 S CASS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483284509",
            "telephone_number": "248-702-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYRES PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "810-338-9513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.