Active NPI
Superior Physical Therapy
- Physical Therapy Clinic/Center
- Southfield, MI
National Provider Identifier
1972092179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.