| Professional Physical Therapy Pc | |
|
29201 Telegraph Rd, Suite 220, Southfield, MI 48034 | |
| (248) 301-9219 | |
| (586) 268-1933 |
| Full Name | Professional Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 29201 Telegraph Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710193370 | NPI | - | NPPES |
| 50018892 | Other | MI | HAP |
| 104690994 | Other | MI | MOLINA HMO |
| 104690994 | Medicaid | MI | |
| 650F357800 | Other | MI | BCBSM |
| 204258600 | Other | MI | US DEPT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501005266 (Michigan) | Primary |
| Provider Name | Smita V Ahluwalia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679789283 PECOS PAC ID: 6103734215 Enrollment ID: I20040821000091 |
| Provider Name | Vikas Ahluwalia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740496355 PECOS PAC ID: 1557394624 Enrollment ID: I20050919000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Physical Therapy Pc 29201 Telegraph Rd Ste 220, Southfield, MI 48034-7645 Ph: (248) 301-9219 | Professional Physical Therapy Pc 29201 Telegraph Rd, Suite 220, Southfield, MI 48034 Ph: (248) 301-9219 |
Ashtiaq Khokhar, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-304-1100 | |
Michelle Hall, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 | |
Thomas Chung, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd, Southfield, MI 48033 Phone: 248-663-1910 Fax: 248-849-0190 | |
Briana Keller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 Fax: 248-827-1120 | |
Toms K Mathew, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28309 Franklin Rd, Southfield, MI 48034 Phone: 248-208-6100 Fax: 248-208-6119 | |
Jaspal Kaur, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24681 Northwestern Hwy, Sut 103, Southfield, MI 48075 Phone: 248-809-9360 | |
Michigan Health & Rehabilitation Services, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 26900 Franklin Rd, Southfield, MI 48033 Phone: 248-301-6300 Fax: 248-366-9198 |