NPIMap

Organization Active NPI

Halo PT & Rehab

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1902467145
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HALO PT & REHAB
Practice address
20240 W 12 Mile Rd
Southfield, MI 48076-2426
Phone
(248) 331-1400
Fax
(248) 331-1401
NPI assigned
Jun 27, 2019
Organization subpart
Yes
Parent organization
HALO MEDICAL GROUP PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Hanady Beydoun
Title
Office Manager
Phone
(313) 993-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

20240 W 12 Mile Rd
Southfield, MI 48076-2426

Mailing address

PO Box 772249
Detroit, MI 48277-2249
Phone (248) 331-1400

National Provider Directory

National Provider Directory
Tax ID family
Halo Primary Care6 organizations share this tax ID, including this one
Part of
Halo Primary Care

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1902467145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772249",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772249",
            "telephone_number": "248-331-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20240 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762426",
            "telephone_number": "248-331-1400",
            "fax_number": "248-331-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO PT & REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALO MEDICAL GROUP PLLC",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "HANADY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-993-7777"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "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 Jun 27, 2019; 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.