Provider Demographics
NPI:1508206939
Name:THE ART OF HEALING PHYSICAL THERAPY & REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:THE ART OF HEALING PHYSICAL THERAPY & REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / OWNER / MANAGE
Authorized Official - Prefix:
Authorized Official - First Name:NIMISHA
Authorized Official - Middle Name:DARSHAN
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-790-0378
Mailing Address - Street 1:9007 MAGNA LN
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-5216
Mailing Address - Country:US
Mailing Address - Phone:704-698-2104
Mailing Address - Fax:704-698-2104
Practice Address - Street 1:9007 MAGNA LN
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5216
Practice Address - Country:US
Practice Address - Phone:704-698-2104
Practice Address - Fax:704-698-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-29
Last Update Date:2013-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12348261QP2000X
261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy