MEDICARE: PRIORITY PHYSICAL THERAPY AND REHABILIATION, LLC.

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1518320860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIORITY PHYSICAL THERAPY AND REHABILIATION, LLC.

Provider Business Mailing Address
First Line	:	2145 15 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-4807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2145 15 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-4807
Country	:	US
Telephone Number	:	586-883-6717
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MUMTAZ YALDO
Credential	:
Telephone Number	:	586-883-6717

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	04/04/2016

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