Organization Active NPI

Advanced Care Physical Therapy and Rehabilitation, LLC

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1891026084
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANCED CARE PHYSICAL THERAPY AND REHABILITATION, LLC
Practice address
29688 Telegraph Rd
Suite 600a
Southfield, MI 48034-1362
Phone
(248) 223-9890
Fax
(248) 223-9891
NPI assigned
Jan 27, 2010
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Ms. Elina Yacubova
Title
President
Phone
(248) 223-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

29688 Telegraph Rd
Suite 600a
Southfield, MI 48034-1362

Mailing address

6691 Brookshire Dr
West Bloomfield, MI 48322-2725
Phone (248) 223-9890

National Provider Directory

National Provider Directory

Locations

29688 Telegraph Rd
#600A
Southfield, MI 48034
Phone (248) 223-9890

29688 Telegraph Rd
Ste 600A
Southfield, MI 48034
Phone (248) 223-9890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1891026084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6691 BROOKSHIRE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222725",
            "telephone_number": "248-223-9890",
            "fax_number": "248-223-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29688 TELEGRAPH RD",
            "address_2": "SUITE 600A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341362",
            "telephone_number": "248-223-9890",
            "fax_number": "248-223-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE PHYSICAL THERAPY AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "YACUBOVA",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-223-9890",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "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 Jan 27, 2010; 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.