Provider Demographics
NPI:1750570586
Name:ORTHOPAEDIC PHYSICAL THERAPY SERVICES, INC
Entity type:Organization
Organization Name:ORTHOPAEDIC PHYSICAL THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:WALKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-422-8479
Mailing Address - Street 1:6255 INKSTER RD STE 103
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2538
Mailing Address - Country:US
Mailing Address - Phone:734-422-8479
Mailing Address - Fax:
Practice Address - Street 1:32500 WARREN RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2910
Practice Address - Country:US
Practice Address - Phone:734-422-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010190225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI200H231070OtherBCBS