Organization Active NPI

Metro Physical Therapy and Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1912906744
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
METRO PHYSICAL THERAPY AND REHABILITATION, INC
Practice address
15565 Northland Dr E
Suite 208
Southfield, MI 48075-5302
Phone
(248) 424-7394
Fax
(248) 424-7397
NPI assigned
Jul 14, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Iram Q Tariq
Title
President
Phone
(248) 424-7394

Specialties & licenses 1

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

Addresses

Primary practice location

15565 Northland Dr E
Suite 208
Southfield, MI 48075-5302

Mailing address

15565 Northland Dr,
Suite 208 E
Southfield, MI 48075
Phone (248) 424-7394

Other identifiers 1

IdentifierTypeStateIssuer
30401OtherMIBCBSM

Other names 1

  • Metro Physical Therapy & Rehabilitation inc Other name

National Provider Directory

National Provider Directory

Locations

15565 Northland Dr E
Ste 208
Southfield, MI 48075
Phone (248) 424-7394

13333 Telegraph Rd
Ste 1001
Taylor, MI 48180
Phone (734) 287-8660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912906744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR,",
            "address_2": "SUITE 208 E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-424-7394",
            "fax_number": "248-424-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR E",
            "address_2": "SUITE 208",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755302",
            "telephone_number": "248-424-7394",
            "fax_number": "248-424-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PHYSICAL THERAPY AND REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "IRAM",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-424-7394"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "30401",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Physical Therapy & Rehabilitation inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2022; 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.