Personalize Advance Therapy Services

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PERSONALIZE ADVANCE THERAPY SERVICES

Practice address

4777 E Outer Dr FL Ge
Detroit, MI 48234-3241

Phone

(313) 304-4040

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Marlon A Burt

Title

Administrator

Phone

(313) 304-4040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1962034710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28021 SOUTHFIELD RD STE 200",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762816",
            "telephone_number": "313-304-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E OUTER DR FL GE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343241",
            "telephone_number": "313-304-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZE ADVANCE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-304-4040"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Persley, MSA
• Lorraine Person, LBSW
• Scott Person
• Personal Best T & C (Personal Best MIHP)
• Personal Touch Adult Day Center, LLC
• Personalized Nursing Services (Precious Lives)
• Perspective Transportation
• Perspectives of Troy, PC (Perspectives Counseling Centers)
• Baiyina Peruzzi
• William T Peruzzi, M.D.

• Physical Therapy Clinic/Center in Detroit, MI
• Providers in Detroit, 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 Feb 10, 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.