Active NPI
Epic Management, LLC
- Orthopedic Physical Therapist
- Southfield, MI
National Provider Identifier
1912562984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- EPIC MANAGEMENT, LLC
- Doing business as
- Epic Orthopedic & Neuro Rehab
- Practice address
- 25865 W 12 Mile Rd Ste 101
Southfield, MI 48034-1817 - Phone
- (248) 864-8249
- Fax
- (248) 864-8609
- NPI assigned
- May 6, 2019
- 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
- Mr. Shahzad Yusuf, MHA
- Title
- Director
- Phone
- (248) 910-1727
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | |||
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
25865 W 12 Mile Rd Ste 101
Southfield, MI 48034-1817
Mailing address
25865 W 12 Mile Rd Ste 101
Southfield, MI 48034-1817
Phone (248) 864-8249
Other names 1
- Epic Orthopedic & Neuro Rehab
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557100800000",
"number": "1912562984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25865 W 12 MILE RD STE 101",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341817",
"telephone_number": "248-864-8249",
"fax_number": "248-864-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25865 W 12 MILE RD STE 101",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341817",
"telephone_number": "248-864-8249",
"fax_number": "248-864-8609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIC MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-06",
"last_updated": "2019-05-06",
"status": "A",
"authorized_official_last_name": "YUSUF",
"authorized_official_first_name": "SHAHZAD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "248-910-1727",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MHA"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Epic Orthopedic & Neuro Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 6, 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.