Provider Demographics
NPI:1285187344
Name:PHYSIO HOME HEALTH RECOVERY, INC.
Entity Type:Organization
Organization Name:PHYSIO HOME HEALTH RECOVERY, INC.
Other - Org Name:ON POINT PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ISMAIL
Authorized Official - Last Name:MAKKI
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:313-989-3036
Mailing Address - Street 1:26329 SIMONE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3365
Mailing Address - Country:US
Mailing Address - Phone:313-989-3036
Mailing Address - Fax:
Practice Address - Street 1:26329 SIMONE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3365
Practice Address - Country:US
Practice Address - Phone:313-989-3036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty