Provider Demographics
NPI:1467532838
Name:ANN ARBOR PHYSICAL THERAPY SERVICES, P.C.
Entity Type:Organization
Organization Name:ANN ARBOR PHYSICAL THERAPY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:ZH
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-677-4345
Mailing Address - Street 1:16251 WOODWORD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-2867
Mailing Address - Country:US
Mailing Address - Phone:313-852-3200
Mailing Address - Fax:313-852-3204
Practice Address - Street 1:16251 WOODWORD AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-2867
Practice Address - Country:US
Practice Address - Phone:313-852-3200
Practice Address - Fax:313-852-3204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI30352OtherBCBSM
MI23-6601Medicare UPIN