NPIMap

Organization Active NPI

Physio Care Rehab LLC

  • Physical Therapy Clinic/Center
  • Dearborn, MI
National Provider Identifier
1962048405
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIO CARE REHAB LLC
Practice address
10645 W Warren Ave Ste 300
Dearborn, MI 48126-8009
Phone
(813) 476-1780
NPI assigned
Nov 19, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Thirupathi AllalaNPI 1255604344
Title
PT
Phone
(813) 476-1780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

10645 W Warren Ave Ste 300
Dearborn, MI 48126-8009

Mailing address

PO Box 2190
Farmington Hills, MI 48333-2190

National Provider Directory

National Provider Directory

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": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1962048405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483332190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 W WARREN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481268009",
            "telephone_number": "813-476-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO CARE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "ALLALA",
        "authorized_official_first_name": "THIRUPATHI",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "813-476-1780"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.