MEDICARE: PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1275391369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	9368 N LILLEY RD
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-4610
Country	:	US
Telephone Number	:	734-416-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	17388 W 13 MILE RD
Second Line	:
City	:	BEVERLY HILLS
State	:	MI
Zip	:	48025-5438
Country	:	US
Telephone Number	:	248-731-0060
Fax Number	:	248-731-7062

Authorized Official
Title or Position	:	EVP
Name	:	RICHARD BINSTEIN
Credential	:
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/12/2024

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