PRO-LINE PHYSICAL THERAPY, LLC (NPI# 1578176269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578176269 |
| Entity Type | Organization |
| Organization Name | PRO-LINE PHYSICAL THERAPY, LLC |
| Practice Address |
25899 W 12 Mile Rd Ste 335 Southfield MI 48034-8343 |
| Practice Telephone | 3136951000 |
| Mailing Telephone | 3136951000 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | KALLIL KAZAN (PRESIDENT) |
| Authorized Official Telephone | 3136951000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
25899 W 12 MILE RD STE 335 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-8343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683008 | Nms Chiropractic Center PC | Chiropractor | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-09-11 |
| 1255945226 | Rahul Chaitanya Shah | Physical Therapist | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864622 | Marina Physical Therapy | Clinic/Center | 17515 W 9 Mile Rd Ste 180, Southfield, MI 48075-4400 | 2019-07-31 |
| 1770149700 | 411 Help II | Clinic/Center | 27207 Lahser Rd Ste 106, Southfield, MI 48034-2168 | 2019-05-15 |
| 1366938268 | Aa Physical Therapy & Rehabilitation, LLC | Clinic/Center | 16250 Northland Dr Ste 350, Southfield, MI 48075-5228 | 2018-07-03 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1972092179 | Superior Physical Therapy | Clinic/Center | 27209 Lahser Rd Ste 130, Southfield, MI 48034-8401 | 2018-05-03 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1336647700 | Theraflex Physical Therapy LLC | Clinic/Center | 20180 W 12 Mile Rd Ste 100, Southfield, MI 48076-5412 | 2018-01-31 |
| 1073011573 | United Wellness Physical Therapy, LLC | Clinic/Center | 20755 Greenfield Rd Ste 800, Southfield, MI 48075-5410 | 2018-01-30 |
| 1043723430 | Shalom Therapy Services LLC | Clinic/Center | 26206 W 12 Mile Rd Ste 204, Southfield, MI 48034-8500 | 2017-11-08 |
| 1538670971 | Pain Recovery LLC | Clinic/Center | 15565 Northland Dr W Ste 605w, Southfield, MI 48075-5319 | 2017-10-12 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on PRO-LINE PHYSICAL THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.