Healthcare Provider Details
I. General information
NPI: 1356142434
Provider Name (Legal Business Name): RESILIENCE PHYSICAL THERAPY & PILATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
31302 STEPHENSON HWY STE B
MADISON HEIGHTS MI
48071-1634
US
IV. Provider business mailing address
3970 MAY CENTER RD
LAKE ORION MI
48360-2522
US
V. Phone/Fax
- Phone: 248-302-4264
- Fax:
- Phone: 248-302-4264
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CECILY
CIARAMITARO
Title or Position: OWNER
Credential: DPT
Phone: 248-302-4264