Axis PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AXIS PT

Practice address

24725 W 12 Mile Rd Ste 260
Southfield, MI 48034-8310

Phone

(248) 550-4800

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Morgan Ariel Glazer

Title

Owner

Phone

(248) 353-2225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1962288068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24725 W 12 MILE RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348310",
            "telephone_number": "248-550-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24725 W 12 MILE RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348310",
            "telephone_number": "248-550-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "GLAZER",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-353-2225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.