Dwight Ortho - West Bloomfield Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501002195 Issued in MI

Legal business name

DWIGHT ORTHO - WEST BLOOMFIELD INC

Practice address

7115 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-3678

Phone

(248) 855-9009

Fax

(248) 855-8460

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Gwyn Swartz

Title

Corporate Administrator

Phone

(586) 412-2846

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1962402891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42615 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381653",
            "telephone_number": "586-412-2845",
            "fax_number": "586-416-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 ORCHARD LAKE RD",
            "address_2": "SUITE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223678",
            "telephone_number": "248-855-9009",
            "fax_number": "248-855-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT ORTHO - WEST BLOOMFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "GWYN",
        "authorized_official_title_or_position": "CORPORATE ADMINISTRATOR",
        "authorized_official_telephone_number": "586-412-2846",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "30370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Thomas Dunn, BS, CPHT
• Brittany Taylor Durecki, DNP, FNP-BC
• Amarachi Charity Duru
• Breanne M Duvendeck, DPT
• Mahmoud Ahmed Dwaik, NP
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• Eagle Advancement Institute
• Megan Elizabeth Eason, COTA/L

• Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.