Active NPI
Axiom Physical Therapy & Rehabilitation Center Inc
- Physical Therapy Clinic/Center
- Detroit, MI
National Provider Identifier
1902006158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- AXIOM PHYSICAL THERAPY & REHABILITATION CENTER INC
- Practice address
- 18254 Livernois Ave
Detroit, MI 48221-4214 - Phone
- (313) 329-3977
- NPI assigned
- Jul 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Asif Majeed Chaudhry
- Title
- Admin
- Phone
- (313) 329-3977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
18254 Livernois Ave
Detroit, MI 48221-4214
Mailing address
18254 Livernois Ave
Detroit, MI 48221-4214
Phone (313) 329-3977
Other practice location 1
17070 W 12 Mile Rd Ste E
Southfield, MI 48076-2116
Phone (248) 483-3990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-6820 | Other | MI | OUT PATIENT REHABILITATIO |
National Provider Directory
National Provider DirectoryLocations
15400 19 Mile Rd
Ste 110
Clinton Twp, MI 48038
Phone (586) 416-7500
27308 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 395-0699
17520 W 12 Mile Rd
Ste 104
Southfield, MI 48076
Phone (248) 395-0699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673481600000",
"number": "1902006158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18254 LIVERNOIS AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482214214",
"telephone_number": "313-329-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18254 LIVERNOIS AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482214214",
"telephone_number": "313-329-3977"
}
],
"practiceLocations": [
{
"address_1": "17070 W 12 Mile Rd Ste E",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480762116",
"country_code": "US",
"telephone_number": "248-483-3990",
"fax_number": "248-595-8386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AXIOM PHYSICAL THERAPY & REHABILITATION CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "ASIF",
"authorized_official_middle_name": "MAJEED",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "313-329-3977"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUT PATIENT REHABILITATIO",
"identifier": "23-6820",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.