Organization Active NPI

Neuro-Tech Recovery Systems

  • Physical Therapy Clinic/Center
  • Livonia, MI
National Provider Identifier
1841693876
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501003124 Issued in MI
Legal business name
NEURO-TECH RECOVERY SYSTEMS
Practice address
14575 Bainbridge St
Livonia, MI 48154-3601
Phone
(734) 272-8698
NPI assigned
Oct 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Hendrika Lubertha Lietz, PT, DPT, NCS
Title
Founder
Phone
(734) 272-8698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501003124 MI Primary

Addresses

Primary practice location

14575 Bainbridge St
Livonia, MI 48154-3601

Mailing address

14575 Bainbridge St
Livonia, MI 48154-3601
Phone (734) 272-8698

National Provider Directory

National Provider Directory

Locations

27622 5 Mile Rd
Livonia, MI 48154
Phone (734) 272-8698

NPI Registry JSON

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

{
    "created_epoch": "1412467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1841693876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 BAINBRIDGE ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543601",
            "telephone_number": "734-272-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 BAINBRIDGE ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543601",
            "telephone_number": "734-272-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-TECH RECOVERY SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "LIETZ",
        "authorized_official_first_name": "HENDRIKA",
        "authorized_official_middle_name": "LUBERTHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "734-272-8698",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501003124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.