Healthcare Provider Details

I. General information

NPI: 1619864584
Provider Name (Legal Business Name): EMPOWERIZE THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9715 VILLAGE PLACE BLVD
BRIGHTON MI
48116-2087
US

IV. Provider business mailing address

9715 VILLAGE PLACE BLVD
BRIGHTON MI
48116-2087
US

V. Phone/Fax

Practice location:
  • Phone: 810-772-7600
  • Fax: 810-772-7630
Mailing address:
  • Phone: 810-772-7600
  • Fax: 810-206-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALICIA KAY HISEY
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: DPT
Phone: 810-772-7600