Provider Demographics
NPI:1598834467
Name:EXCEL PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:EXCEL PHYSICAL THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RASHEED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALADE
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:248-552-6619
Mailing Address - Street 1:15565 NORTHLAND DR.
Mailing Address - Street 2:SUITE 506WEST
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5307
Mailing Address - Country:US
Mailing Address - Phone:248-552-6619
Mailing Address - Fax:248-552-6656
Practice Address - Street 1:15565 NORTHLAND DR.
Practice Address - Street 2:SUITE 506WEST
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5307
Practice Address - Country:US
Practice Address - Phone:248-552-6619
Practice Address - Fax:248-552-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501007056225100000X
MI5201002183225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0P03720Medicare ID - Type Unspecified
0P04090Medicare ID - Type Unspecified