BODY MATRIXS (NPI# 1780092718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780092718 |
| Entity Type | Organization |
| Organization Name | BODY MATRIXS |
| Other Organization Name | BODY MATRIX PHYSICAL THERAPY |
| Practice Address |
2075 Fort St Lincoln Park MI 48146-2191 |
| Practice Telephone | 3138437279 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | AHMED AHMED (CEO) |
| Authorized Official Telephone | 3138437279 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| body matrix physical therapy | Doing Business As Name - Organization |
| Street Address |
2075 FORT ST |
| City | LINCOLN PARK |
| State | MI |
| Zip Code | 48146-2191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972780286 | Khalil and Usen Dpm PC II | Podiatrist | 2075 Fort St, Lincoln Park, MI 48146-2191 | 2008-01-29 |
| 1487268868 | Hammonds Pt and Recovery | Clinic/Center | 2075 Fort St, Lincoln Park, MI 48146-2191 | 2020-09-03 |
| 1659806206 | Christopher A Fueri | Technician, Health Information | 2075 Fort St, Lincoln Park, MI 48146-2191 | 2017-04-20 |
| 1881047546 | Metroplex Wellness Centre, Inc. | Community/Behavioral Health | 2075 Fort St, Lincoln Park, MI 48146-2191 | 2016-07-18 |
| 1992163133 | Quality Care Physicians and Specialists | Case Management | 2075 Fort St, Lincoln Park, MI 48146-2191 | 2016-02-02 |
| 1609035179 | Khalil and Usen Dpm PC | Podiatrist | 2075 Fort St, Lincoln Park, MI 48146-2191 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967251 | Luisa Sofia Amaya | Behavior Technician | 1360 Porter Ave, Lincoln Park, MI 48146 | 2020-06-17 |
| 1851854129 | Abhi Patel | Physical Therapist | 25050 W. Outer Dr, Ste: 204, Lincoln Park, MI 48146 | 2019-04-12 |
| 1831608827 | Back On Track Physical Therapy LLC | Clinic/Center | 1132 Southfield Road, Lincoln Park, MI 48146 | 2017-09-22 |
| 1326568221 | Priscilla Cano | Social Worker | 1600 Porter, Detroit, MI 48146 | 2017-06-21 |
| 1952650194 | Melissa Margaret Belinc | Psychologist | 26300 Outer Drive, Lincoln Park, MI 48146 | 2012-09-04 |
| 1497011746 | Richard John Daniels | Physical Therapy Assistant | 1538 Morris, Lincoln Park, MI 48146 | 2012-04-11 |
| 1740563261 | Myesha Renee Thurman | Social Worker | 26180 W. Outer Drive, Lincoln Park, MI 48146 | 2011-09-21 |
| 1033491162 | Heidi Bremer | Social Worker | 26180 West Outer Drive, Lincoln Park, MI 48146 | 2011-09-14 |
| 1871823526 | Richard Dale Mott | Counselor | 1564 Arlington, Lincoln Park, LA 48146 | 2009-12-31 |
| 1386801777 | Laura Ann Kaakati-weber | Psychologist | 26184 West Outer Drive, Lincoln Park, MI 48146 | 2008-05-22 |
| Find all providers in zip 48146 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831608827 | Back On Track Physical Therapy LLC | Clinic/Center | 1132 Southfield Road, Lincoln Park, MI 48146 | 2017-09-22 |
| 1437126091 | Advanced Physical Therapy and Wellness Center, LLC | Clinic/Center | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2006-03-02 |
| 1306818364 | Michigan Rehabilitation Care Inc | Clinic/Center | 1300 Electric Ave, Lincoln Park, MI 48146-5814 | 2006-02-03 |
| 1487268868 | Hammonds Pt and Recovery | Clinic/Center | 2075 Fort St, Lincoln Park, MI 48146-2191 | 2020-09-03 |
| 1922669928 | Parks Downriver Physical Therapy LLC | Clinic/Center | 1770 Fort St, Lincoln Park, MI 48146-1904 | 2019-06-21 |
| 1902313133 | American Rehab Solutions, LLC | Clinic/Center | 2075 Fort St Ste 101, Lincoln Park, MI 48146-2191 | 2018-01-09 |
| 1215364880 | Adequate Physical Therapy LLC | Clinic/Center | 2355 Fort St, Lincoln Park, MI 48146-2464 | 2013-09-27 |
| 1497909469 | Lincoln Park Physical Therapy and Sports Rehabilitation, LLC | Clinic/Center | 212 Main St, Suite B, Lincoln Park, NJ 07035-3700 | 2008-11-04 |
| 1619155314 | Advanced Injury Care II, Inc. | Clinic/Center | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2008-02-05 |
| 1457443855 | Physical Therapy Group Inc. | Clinic/Center | 25880 Outer Dr, Lincoln Park, MI 48146-1553 | 2006-09-30 |
| Find all providers in LINCOLN PARK | ||||
| City | LINCOLN PARK |
| Zip Code | 48146 |
Please comment or provide details below to improve the information on BODY MATRIXS.
| 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.