Provider Demographics
NPI:1326756776
Name:ATLANTIC PHYSICAL THERAPY AND REHABILITATION SERVICES,INC
Entity Type:Organization
Organization Name:ATLANTIC PHYSICAL THERAPY AND REHABILITATION SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHEED
Authorized Official - Middle Name:BABATUNDE
Authorized Official - Last Name:ALADE
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:248-727-7389
Mailing Address - Street 1:15565 NORTHLAND DR W STE 505
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5307
Mailing Address - Country:US
Mailing Address - Phone:248-727-7389
Mailing Address - Fax:248-552-6656
Practice Address - Street 1:15565 NORTHLAND DR W STE 505
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5307
Practice Address - Country:US
Practice Address - Phone:248-727-7389
Practice Address - Fax:248-552-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty