Provider Demographics
NPI:1356142434
Name:RESILIENCE PHYSICAL THERAPY & PILATES, LLC
Entity type:Organization
Organization Name:RESILIENCE PHYSICAL THERAPY & PILATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CECILY
Authorized Official - Middle Name:
Authorized Official - Last Name:CIARAMITARO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-302-4264
Mailing Address - Street 1:1041 WALLOON CT
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1325
Mailing Address - Country:US
Mailing Address - Phone:248-302-4264
Mailing Address - Fax:
Practice Address - Street 1:169 W CLARKSTON RD STE 600
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48362-2980
Practice Address - Country:US
Practice Address - Phone:248-302-4264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty