Park Warren Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PARK WARREN PHYSICAL THERAPY LLC

Practice address

26000 Hoover Rd
Warren, MI 48089-1167

Phone

(313) 406-4413

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Diana Alexandria Abazeed

Title

Credentialing Consultant

Phone

(313) 920-5522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1912512575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "313-406-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK WARREN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A",
        "authorized_official_last_name": "ABAZEED",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "CREDENTIALING CONSULTANT",
        "authorized_official_telephone_number": "313-920-5522"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paramount Medical Group PC
• Paramount Medical Group, P.C.
• Marta Paratsii, DO
• Alan C Parent, M.D.
• Satyum Parikh, M.D.
• Jenese Parker, LPN
• Crystal Parks, RN
• Oscar Franco Parodi Ortiz de Villate, M.D.
• Staci Parrish, BSW
• Abbygayle Nicole Parshall

• Physical Therapy Clinic/Center in Warren, MI
• Providers in Warren, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.