Provider Demographics
NPI:1942777503
Name:FAMILY FIRST PHYSICAL THERAPY
Entity Type:Organization
Organization Name:FAMILY FIRST PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATROR
Authorized Official - Prefix:
Authorized Official - First Name:NILESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:586-419-5857
Mailing Address - Street 1:1681 E AUBURN RD STE A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5583
Mailing Address - Country:US
Mailing Address - Phone:248-710-8383
Mailing Address - Fax:248-710-8385
Practice Address - Street 1:1681 E AUBURN RD STE A
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5583
Practice Address - Country:US
Practice Address - Phone:248-710-8383
Practice Address - Fax:248-710-8385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty