Fiziostim Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006078 Issued in MI

Legal business name

FIZIOSTIM REHABILITATION LLC

Practice address

26699 W 12 Mile Rd Ste 202
Southfield, MI 48034-7815

Phone

(248) 353-3260

Fax

(248) 353-3275

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Vivek Shirishkar, RPT

Title

President

Phone

(248) 353-3260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922154657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26699 W 12 MILE RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347815",
            "telephone_number": "248-353-3260",
            "fax_number": "248-353-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26699 W 12 MILE RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347815",
            "telephone_number": "248-353-3260",
            "fax_number": "248-353-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIZIOSTIM REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIRISHKAR",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-353-3260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Fisher, T.L.L.P.
• Eliana Jean Fishman, PA
• Mia Fitzgerald
• Lanie Ann Fitzpatrick
• Five Satr DME
• Mark Flajole, MD
• Thomas M Flake Jr., MD
• Essence Nicole Flanagan, MA
• Sarit Flascher, PT
• Steven Fleming

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.