Organization Active NPI

Purewave Therapeutic LLC

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1841195260
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PUREWAVE THERAPEUTIC LLC
Practice address
18000 W 9 Mile Rd Ste 680B
Southfield, MI 48075-4013
Phone
(248) 906-6360
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Mustafa Kaada
Title
Ceo
Phone
(248) 906-6360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

18000 W 9 Mile Rd Ste 680B
Southfield, MI 48075-4013

Mailing address

18000 W 9 Mile Rd Ste 680B
Southfield, MI 48075-4013
Phone (248) 906-6360

National Provider Directory

National Provider Directory

Locations

18000 W 9 Mile Rd
Ste 680B
Southfield, MI 48075

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1841195260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 680B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754013",
            "telephone_number": "248-906-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 680B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754013",
            "telephone_number": "248-906-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREWAVE THERAPEUTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "KAADA",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-906-6360"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.