Provider Demographics
NPI:1467537001
Name:THERAPY MANAGEMENT ENTERPRISES INC.
Entity Type:Organization
Organization Name:THERAPY MANAGEMENT ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-399-5212
Mailing Address - Street 1:3820 17 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-6831
Mailing Address - Country:US
Mailing Address - Phone:586-838-1049
Mailing Address - Fax:248-399-5256
Practice Address - Street 1:641 W 9 MILE RD
Practice Address - Street 2:SUITE D
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1779
Practice Address - Country:US
Practice Address - Phone:248-399-5212
Practice Address - Fax:248-399-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236741Medicare ID - Type Unspecified