Provider Demographics
NPI:1821840877
Name:ARK PHYSICAL THERAPISTS LLC
Entity Type:Organization
Organization Name:ARK PHYSICAL THERAPISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:KANCHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATARKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-946-2642
Mailing Address - Street 1:35654 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4288
Mailing Address - Country:US
Mailing Address - Phone:248-909-7664
Mailing Address - Fax:
Practice Address - Street 1:35654 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4288
Practice Address - Country:US
Practice Address - Phone:248-909-7664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty