Healthcare Provider Details

I. General information

NPI: 1215979943
Provider Name (Legal Business Name): DEARBORN PHYSICAL THERAPY LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 KINGSWAY CT SUITE 2
TRENTON MI
48183-1960
US

IV. Provider business mailing address

1300 W SAM HOUSTON PKWY S STE 300
HOUSTON TX
77042-2453
US

V. Phone/Fax

Practice location:
  • Phone: 734-676-7400
  • Fax: 734-676-5139
Mailing address:
  • Phone: 713-297-7000
  • Fax: 713-297-7090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: EVP
Credential:
Phone: 713-297-7000