Healthcare Provider Details

I. General information

NPI: 1285584904
Provider Name (Legal Business Name): THRIVE CARE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 WYOMING ST
DEARBORN MI
48126-2367
US

IV. Provider business mailing address

7001 WYOMING ST
DEARBORN MI
48126-2367
US

V. Phone/Fax

Practice location:
  • Phone: 313-429-3150
  • Fax:
Mailing address:
  • Phone: 313-429-3150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED MAKKI
Title or Position: OWNER
Credential: PTA
Phone: 313-648-2682