Therawell Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THERAWELL PHYSICAL THERAPY LLC

Practice address

25136 W 6 Mile Rd
Redford, MI 48240-2102

Phone

(313) 648-2682

NPI assigned

Nov 1, 2024

Organization subpart

No

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

Authorized official

Name

Alia Makki, PT

Title

Owner

Phone

(313) 648-2682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1861215501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25136 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402102",
            "telephone_number": "313-648-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25136 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402102",
            "telephone_number": "313-648-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAWELL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "ALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-648-2682",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tel Craft Pharmacy LLC
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• The Greene Project Counseling
• The Village of Redford
• Therapy & Rehab, LLC
• Timothy John Thewes
• Emily Thomas, LMSW
• Lorenzo Thomas
• Nadia Bea Thomas, LLMSW
• Andrew Paul Thompson

• Physical Therapy Clinic/Center in Redford, MI
• Providers in Redford, 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 Nov 1, 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.