Organization Active NPI

Axiom Physical Therapy & Rehabilitation Center Inc

  • Physical Therapy Clinic/Center
  • Detroit, MI
National Provider Identifier
1902006158
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jan 12, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
23-6820OtherMIOUT PATIENT REHABILITATIO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.