Abc Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ABC PHYSICAL THERAPY LLC

Practice address

5220 Oakman Blvd
Dearborn, MI 48126-3318

Phone

(248) 752-5123

Fax

(248) 927-0580

NPI assigned

Nov 13, 2017

Last updated

Nov 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vaishaliben Patel

Title

President/Member

Phone

(248) 752-5123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Nirav Patel, PT

  • Physical Therapist
  • Detroit, MI
  • NPI 1114267697
  Medicare reassignment

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1962915918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263318",
            "telephone_number": "248-752-5123",
            "fax_number": "248-927-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263318",
            "telephone_number": "248-752-5123",
            "fax_number": "248-927-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VAISHALIBEN",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "248-752-5123"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Aiman Abbas
• Hafsa Abbass
• Mary Abbo
• Adnan Mohammad Abboud
• Hussein Abboud
• Mohd A Abd Rahman
• Belal Fouad Abdallah, M.D.
• Dena Abdallah
• Dunia Abdallah
• Fatima Abdallah, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.