Access Physical Therapy & Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501010680 Issued in MI

Legal business name

ACCESS PHYSICAL THERAPY & REHAB LLC

Practice address

15700 Providence Dr
Room# 400
Southfield, MI 48075-3144

Phone

(586) 344-6353

Fax

(248) 415-6289

NPI assigned

Feb 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gigi John, PTNPI 1982894051

Title

Admin

Phone

(586) 344-6353

Specialties & licenses 1

Addresses

Other names 1

• Access Physical Therapy & Rehab LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gigi John, PT

  • Physical Therapist
  • Southfield, MI
  • NPI 1982894051

  Physical Therapy

  NPD (past) Authorized official

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1891110185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 PROVIDENCE DR",
            "address_2": "ROOM# 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753144",
            "telephone_number": "586-344-6353",
            "fax_number": "248-415-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 PROVIDENCE DR",
            "address_2": "ROOM# 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753144",
            "telephone_number": "586-344-6353",
            "fax_number": "248-415-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS PHYSICAL THERAPY & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "GIGI",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "586-344-6353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501010680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Physical Therapy & Rehab LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Southfield, MI
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.