Organization Active NPI

JGPT LLC

  • Physical Therapy Clinic/Center
  • Birmingham, MI
National Provider Identifier
1972216968
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JGPT LLC
Practice address
1025 Webster St
Birmingham, MI 48009-6932
Phone
(313) 580-7525
NPI assigned
Jan 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2023

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

Authorized official

Name
Justin Rada, DPTNPI 1922508662
Title
Member
Phone
(313) 580-7525

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1025 Webster St
Birmingham, MI 48009-6932

Mailing address

1025 Webster St
Birmingham, MI 48009-6932
Phone (313) 580-7525

National Provider Directory

National Provider Directory

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": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676160000000",
    "number": "1972216968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WEBSTER ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096932",
            "telephone_number": "313-580-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 WEBSTER ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096932",
            "telephone_number": "313-580-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A",
        "authorized_official_last_name": "RADA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-580-7525",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; 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.