Provider Demographics
NPI:1467689489
Name:PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:49650 CHERRY HILL RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-4849
Mailing Address - Country:US
Mailing Address - Phone:734-495-3725
Mailing Address - Fax:734-495-3734
Practice Address - Street 1:49650 CHERRY HILL RD
Practice Address - Street 2:SUITE 230
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-4849
Practice Address - Country:US
Practice Address - Phone:734-495-3725
Practice Address - Fax:734-495-3734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P39950Medicare PIN