Provider Demographics
NPI:1649309428
Name:ONE PHYSICAL THERAPY,INC.
Entity type:Organization
Organization Name:ONE PHYSICAL THERAPY,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FATTESINH
Authorized Official - Middle Name:RANCHHODBHAI
Authorized Official - Last Name:PARMAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERPIST
Authorized Official - Phone:734-612-2729
Mailing Address - Street 1:5873 COLLEEN DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3989
Mailing Address - Country:US
Mailing Address - Phone:734-612-2729
Mailing Address - Fax:248-828-8466
Practice Address - Street 1:5873 COLLEEN DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3989
Practice Address - Country:US
Practice Address - Phone:734-612-2729
Practice Address - Fax:248-828-8466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005236225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty