Organization Active NPI

Superior Physical Therapy

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1972092179
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SUPERIOR PHYSICAL THERAPY
Practice address
27209 Lahser Rd Ste 130
Southfield, MI 48034-8401
Phone
(248) 996-8158
Fax
(248) 281-6339
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
Yasser Souhouba
Title
Manager
Phone
(248) 996-8158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

27209 Lahser Rd Ste 130
Southfield, MI 48034-8401

Mailing address

27209 Lahser Rd Ste 130
Southfield, MI 48034-8401
Phone (248) 996-8158

National Provider Directory

National Provider Directory

Locations

27209 Lahser Rd
Ste 130
Southfield, MI 48034
Phone (248) 356-5815

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1972092179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD STE 130",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348401",
            "telephone_number": "248-996-8158",
            "fax_number": "248-281-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD STE 130",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348401",
            "telephone_number": "248-996-8158",
            "fax_number": "248-281-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "SOUHOUBA",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-996-8158"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.