MEDICARE: EASY MOVE PHYSICAL THERAPY 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1689508053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASY MOVE PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	3058 METROPOLITAN PKWY STE 107
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3058 METROPOLITAN PKWY STE 107
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3600
Country	:	US
Telephone Number	:	586-256-3725
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YOUSIF AFAN
Credential	:
Telephone Number	:	586-256-3725

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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