Physio Care Rehab LLC

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

Organization subpart

No

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

Authorized official

Name

Thirupathi Allala

Title

PT

Phone

(813) 476-1780

Specialties & licenses 1

Addresses

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": []
}

• Gerald Lee Philo Jr., PTA
• Phoenix Mind Psychology PLLC
• Phylinx
• Physical Therapy Specialists of Dearborn LLC
• Physico PT, LLC
• Stephanie Marie Piazza, NURSE PRACTITIONER
• Picard Burgess Family Practice PC
• Damesha Pierce
• Nicole Pierce
• Sara Pierce, M.S., TLLP

• Physical Therapy Clinic/Center in Dearborn, MI
• Providers in Dearborn, 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 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.