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1922402007 NPI number — PHYSICAL THERAPY AND REHAB SERVICES OF MI LLC

NPI Number: 1922402007
Health Care Provider/Practitioner: PHYSICAL THERAPY AND REHAB SERVICES OF MI LLC

Information about “1922402007” NPI (PHYSICAL THERAPY AND REHAB SERVICES OF MI LLC) exists in 1922402007 in HTML format HTML  |  1922402007 in plain Text format TXT  |  1922402007 in PDF (Portable Document Format) PDF  |  1922402007 in an XML format XML  formats.

NPI Number : 1922402007 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922402007",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SENIORS HOME HEALTH CARE INC",
    "ParentOrgTIN": null,
    "OrgName": "PHYSICAL THERAPY AND REHAB SERVICES OF MI LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15608 FARMINGTON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIVONIA",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48154-2852",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-275-3434",
    "MailingAddressFaxNumber": "866-571-6392",
    "FirstLinePracticeLocationAddress": "15608 FARMINGTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIVONIA",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48154-2852",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-275-3434",
    "PracticeLocationAddressFaxNumber": "866-571-6392",
    "EnumerationDate": "10/17/2014",
    "LastUpdateDate": "12/01/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SIDDIQUI",
    "AuthorizedOfficialFirstName": "MUHAMMAD",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHYSICAL THERAPIST",
    "AuthorizedOfficialTelephoneNumber": "248-275-3434",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0401X",
        "TaxonomyName": "Comprehensive Outpatient Rehabilitation Facility (CORF)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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