MEDICARE: EXCEL PHYSICAL THERAPY SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5201002183	MI
2	225100000X	Physical Therapist	5501007056	MI

General Provider Information

NPI Number	:	1598834467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL PHYSICAL THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	15565 NORTHLAND DR.
Second Line	:	SUITE 506WEST
City	:	SOUTHFIELD
State	:	MI
Zip	:	48075-5307
Country	:	US
Telephone Number	:	248-552-6619
Fax Number	:	248-552-6656

Provider Business Practice Location Address
First Line	:	15565 NORTHLAND DR.
Second Line	:	SUITE 506WEST
City	:	SOUTHFIELD
State	:	MI
Zip	:	48075-5307
Country	:	US
Telephone Number	:	248-552-6619
Fax Number	:	248-552-6656

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RASHEED ALADE
Credential	:	P.T,DPT
Telephone Number	:	248-552-6619

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/01/2013

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