Parks Downriver Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PARKS DOWNRIVER PHYSICAL THERAPY LLC

Practice address

1770 Fort St
Lincoln Park, MI 48146-1904

Phone

(248) 739-6444

NPI assigned

Jun 21, 2019

Last updated

Sep 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex Bazzi

Title

Biller/Manager

Phone

(248) 739-6444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1922669928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461904",
            "telephone_number": "248-739-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461904",
            "telephone_number": "248-739-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKS DOWNRIVER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "BILLER/MANAGER",
        "authorized_official_telephone_number": "248-739-6444"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Lincoln Park, MI
• Providers in Lincoln Park, 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 Sep 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.