Provider Demographics
NPI:1598233561
Name:PARAMOUNT PHYSICAL THERAPY
Entity Type:Organization
Organization Name:PARAMOUNT PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WEHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:517-420-8266
Mailing Address - Street 1:29665 WK SMITH DR STE B
Mailing Address - Street 2:
Mailing Address - City:NEW HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:48165-8581
Mailing Address - Country:US
Mailing Address - Phone:517-420-8266
Mailing Address - Fax:517-659-6233
Practice Address - Street 1:29665 WK SMITH DR STE B
Practice Address - Street 2:
Practice Address - City:NEW HUDSON
Practice Address - State:MI
Practice Address - Zip Code:48165-8581
Practice Address - Country:US
Practice Address - Phone:517-420-8266
Practice Address - Fax:517-659-6233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty