Healthcare Provider Details

I. General information

NPI: 1689508053
Provider Name (Legal Business Name): EASY MOVE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3058 METROPOLITAN PKWY STE 107
STERLING HEIGHTS MI
48310-3600
US

IV. Provider business mailing address

3058 METROPOLITAN PKWY STE 107
STERLING HEIGHTS MI
48310-3600
US

V. Phone/Fax

Practice location:
  • Phone: 586-256-3725
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: YOUSIF AFAN
Title or Position: OWNER
Credential:
Phone: 586-256-3725