NPIMap

Organization Active NPI

Excellent Therapy Services PLLC

  • Physical Therapy Clinic/Center
  • Troy, MI
National Provider Identifier
1912445552
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501003213 Issued in MI
Legal business name
EXCELLENT THERAPY SERVICES PLLC
Practice address
1868 Connolly Dr
Troy, MI 48098-5328
Phone
(248) 265-6722
Fax
(248) 265-6722
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Mohammad Younas Khan, RPTNPI 1538608310
Title
Manager
Phone
(248) 265-6722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501003213 MI Primary

Addresses

Primary practice location

1868 Connolly Dr
Troy, MI 48098-5328

Mailing address

1868 Connolly Dr
Troy, MI 48098-5328
Phone (248) 265-6722

National Provider Directory

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": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1912445552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 CONNOLLY DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985328",
            "telephone_number": "248-265-6722",
            "fax_number": "248-265-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 CONNOLLY DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985328",
            "telephone_number": "248-265-6722",
            "fax_number": "248-265-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "YOUNAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-265-6722",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501003213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.