Abyssinia Love Knot Post Trauma Care,LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ABYSSINIA LOVE KNOT POST TRAUMA CARE,LLC

Practice address

18591 W 10 Mile Rd Ste 4
Southfield, MI 48075-2619

Phone

(248) 262-7914

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Samantha Turner

Title

Manager

Phone

(248) 262-7914

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1982957627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18591 W 10 MILE RD STE 4",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752619",
            "telephone_number": "248-262-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18591 W 10 MILE RD STE 4",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752619",
            "telephone_number": "248-262-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABYSSINIA LOVE KNOT POST TRAUMA CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-262-7914",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.