Provider Demographics
NPI:1497910095
Name:HANDS-ON PT L.L.C.
Entity Type:Organization
Organization Name:HANDS-ON PT L.L.C.
Other - Org Name:HANDS-ON PHYSICAL THERAPY & ATHLETIC REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-552-0205
Mailing Address - Street 1:24011 GREENFIELD RD.
Mailing Address - Street 2:HANDS-ON PHYSICAL THERAPY & ATHLETIC REHABILITATION CEN
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075
Mailing Address - Country:US
Mailing Address - Phone:248-552-0205
Mailing Address - Fax:248-552-0256
Practice Address - Street 1:24011 GREENFIELD RD.
Practice Address - Street 2:HANDS-ON PHYSICAL THERAPY & ATHLETIC REHABILITATION CEN
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-552-0205
Practice Address - Fax:248-552-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
MI5501011753225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI1432Medicare PIN