DEARBORN PHYSICAL THERAPY LTD. (NPI# 1730120650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730120650 |
Entity Type | Organization |
Organization Name | DEARBORN PHYSICAL THERAPY LTD. |
Other Organization Name | ADVANCED PHYSICAL THERAPY (ORTHO) |
Practice Address |
26025 Lahser Rd Suite 100 Southfield MI 48033-2601 |
Mailing Address |
1300 W Sam Houston Pkwy S Suite 300 Houston TX 77042-2447 |
Practice Telephone | 2486631906 |
Practice Fax Number | 2486631903 |
Mailing Telephone | 7132977000 |
Mailing Fax Number | 7132977090 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2008-10-13 |
Authorized Official Name | JANNA P. KING (VP/AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 7132977000 |
Authorized Official Credential | JD |
Is Organization Subpart | Y |
Parent Organization Name | DEARBORN PHYSICAL THERAPY LTD. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Advanced Physical Therapy (Ortho) | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942244702 | Dearborn Physical Therapy Ltd. | Physical Therapist | 28933 Woodward Ave, Berkley, MI 48072-0923 | 2006-06-15 |
1427090182 | Dearborn Physical Therapy Ltd. | Physical Therapist | 2753 University Dr, Auburn Hills, MI 48326-2542 | 2006-06-10 |
1902847833 | Dearborn Physical Therapy Ltd. | Physical Therapist | 15245 Dix Toledo Rd, Southgate, MI 48195-3445 | 2006-06-10 |
1457804460 | Dearborn Physical Therapy Ltd. | Physical Therapist | 25511 Van Dyke Ave, Suite 200, Center Line, MI 48015-1834 | 2016-07-26 |
1396913844 | Dearborn Physical Therapy Ltd. | Durable Medical Equipment & Medical Supplies | 26025 Lahser Rd, Suite 100, Southfield, MI 48033-2606 | 2008-02-19 |
1427263821 | Dearborn Physical Therapy Ltd. | Durable Medical Equipment & Medical Supplies | 1422 N Monroe St, Monroe, MI 48162-4211 | 2007-05-11 |
1639113947 | Dearborn Physical Therapy Ltd. | Physical Therapist | 1422 N Monroe St, Monroe, MI 48162-4211 | 2006-06-16 |
1083658397 | Dearborn Physical Therapy Ltd. | Physical Therapist | 1701 South Blvd E, Suite 110, Rochester Hills, MI 48307-6122 | 2006-06-16 |
1285676692 | Dearborn Physical Therapy Ltd. | Physical Therapist | 33200 W 14 Mile Rd, Suite 160, West Bloomfield, MI 48322-3549 | 2006-06-11 |
1215979943 | Dearborn Physical Therapy Ltd. | Physical Therapist | 1570 Kingsway Ct, Suite 2, Trenton, MI 48183-1960 | 2006-06-10 |
Street Address |
26025 LAHSER RD SUITE 100 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48033-2601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497736771 | Thomas J Ditkoff | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2601 | 2005-11-14 |
1679073191 | Vanita Upendra Koepke | Physical Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2018-02-21 |
1427449727 | Julie Berris | Occupational Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2015-02-09 |
1154760650 | Julie Walters Lipa | Physician Assistant | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2013-06-18 |
1891092904 | Stephanie Danielle Springer | Physical Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2011-02-25 |
1679883201 | Kelly Maureen Pseres | Registered Nurse | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2010-10-17 |
1346569886 | Diana C Lengel | Physical Therapist | 26025 Lahser Rd, Suite 100, Southfield, MI 48033-2606 | 2010-05-24 |
1609106871 | Chandra T Charlton | Physical Therapist | 26025 Lahser Rd, Suite 100, Southfield, MI 48033-2606 | 2010-01-11 |
1598091704 | Jennifer Carol Rohrborn | Nurse Practitioner | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2009-10-22 |
1073769162 | Daniel Park | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2008-08-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
Find all providers in zip 48033 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
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 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48033 |
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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.