Organization Active NPI

Greater Detroit Physical Therapy

  • Orthopedic Physical Therapist
  • Westland, MI
National Provider Identifier
1962435685
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
LL008800 Issued in MI
Legal business name
GREATER DETROIT PHYSICAL THERAPY
Practice address
1678 S. Merriman Rd
Westland, MI 48186
Phone
(734) 721-0011
Fax
(734) 721-0859
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Laran Jonathon Lerner, D.O.NPI 1598713430
Title
Owner/Physician
Phone
(734) 721-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X LL008800 MI Primary

Addresses

Primary practice location

1678 S. Merriman Rd
Westland, MI 48186

Mailing address

1678 S Merriman Rd
Westland, MI 48186-5355
Phone (734) 721-0011

Other names 1

  • Merriman Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1678 S Merriman Rd
Westland, MI 48186
Phone (734) 673-3769

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1962435685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 S MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865355",
            "telephone_number": "734-721-0011",
            "fax_number": "734-721-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 S. MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48186",
            "telephone_number": "734-721-0011",
            "fax_number": "734-721-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DETROIT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "LARAN",
        "authorized_official_middle_name": "JONATHON",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "734-721-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "LL008800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merriman Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.