Refine Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501017061 Issued in MI

Legal business name

REFINE PHYSICAL THERAPY LLC

Practice address

555 S Old Woodward Ave
Birmingham, MI 48009-6658

Phone

(517) 303-0138

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Mandy Ma, DPT

Title

Physical Therapist/Owner

Phone

(517) 303-0138

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1861908865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 BEMBRIDGE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732922",
            "telephone_number": "517-303-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096658",
            "telephone_number": "517-303-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFINE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "517-303-0138",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501017061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quick Trips Logistics
• Justin Rada, DPT
• Kimberly A Radakovic, RN
• Asya Raines, MA LLP
• Nancy Marie Recchia, DDS
• Ann M Rehm, MD
• Grace Danielle Reich, MT-BC
• Claude Reitelman, MD
• Sydney L Reiter, MSW, LCSW, ACSW
• Sara Rose Renke, CTRS

• Physical Therapy Clinic/Center in Birmingham, MI
• Providers in Birmingham, 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 Dec 28, 2017; 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.