Organization Active NPI

Pro Physical Therapy & Rehab, PLC

  • Physical Therapy Clinic/Center
  • Taylor, MI
National Provider Identifier
1942339072
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRO PHYSICAL THERAPY & REHAB, PLC
Practice address
10501 Telegraph Rd
Suite 103
Taylor, MI 48180-3375
Phone
(313) 299-0000
Fax
(313) 299-0022
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Mr. Avnish Mahajan, MPTNPI 1861690695
Title
President
Phone
(313) 299-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10501 Telegraph Rd
Suite 103
Taylor, MI 48180-3375

Mailing address

10501 Telegraph Rd
Suite 103
Taylor, MI 48180-3375
Phone (313) 299-0000

National Provider Directory

National Provider Directory

Locations

10501 Telegraph Rd
Ste 103
Taylor, MI 48180
Phone (313) 299-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1942339072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 TELEGRAPH RD",
            "address_2": "SUITE 103",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803375",
            "telephone_number": "313-299-0000",
            "fax_number": "313-299-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 TELEGRAPH RD",
            "address_2": "SUITE 103",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803375",
            "telephone_number": "313-299-0000",
            "fax_number": "313-299-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PHYSICAL THERAPY & REHAB, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "AVNISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-299-0000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.