IMAGE THERAPEUTIC CARE LLC (NPI# 1255673133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255673133 |
| Entity Type | Organization |
| Organization Name | IMAGE THERAPEUTIC CARE LLC |
| Practice Address |
25740 Arden Park Dr Farmington Hills MI 48336-1622 |
| Practice Telephone | 3138224220 |
| Practice Fax Number | 3138224220 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | MR. GUNASINGHE P HEWAGE (PRESIDENT) |
| Authorized Official Telephone | 3138224220 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5501006020 | MI | Ambulatory Health Care Facilities |
| Street Address |
25740 ARDEN PARK DR |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205178001 | Gunasinghe P Hewage | Physical Therapist | 25740 Arden Park Dr, Farmington Hills, MI 48336-1622 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235696063 | Heavenly Hands Physical Therapy LLC | Clinic/Center | 33228 W 12 Mile Rd # 258, Farmington Hills, MI 48334-3309 | 2019-02-28 |
| 1346776663 | Life Care Physical Therapy & Rehab Center Inc | Clinic/Center | 30018 Orchard Lake Rd, Suite A, Farmington Hills, MI 48334-2252 | 2017-05-05 |
| 1013131556 | Advanced Rehabilitation Clinic, Inc. | Clinic/Center | 33466 W 8 Mile Rd Ste 111, Farmington Hills, MI 48335-5208 | 2007-04-13 |
| 1306995485 | Arc Therapy Services LLC | Clinic/Center | 36550 Grand River Ave, Farmington Hills, MI 48335-3064 | 2007-01-09 |
| 1871065714 | Mak Physical Therapy | Clinic/Center | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334 | 2018-12-17 |
| 1396222774 | Pinnacle Integrative Behavioral Health LLC | Clinic/Center | 33466 W 8 Mile Rd, Farmington Hills, MI 48335-5208 | 2018-07-27 |
| 1427591239 | Apex Physical Therapy Services, LLC | Clinic/Center | 21111 Middlebelt Rd, D, Farmington Hills, MI 48336 | 2016-11-28 |
| 1215385406 | Forma Rehabilitation, Inc | Clinic/Center | 24100 Drake Rd, Ste B, Farmington Hills, MI 48335 | 2016-05-27 |
| 1225421696 | Optimum Health, P.C. | Clinic/Center | 33466 W 8 Mile Rd, Suite 111, Farmington Hills, MI 48335-5208 | 2015-03-10 |
| 1194135798 | Elite Medical and Rehabilitation Group | Clinic/Center | 30500 Northwestern Hwy Ste 316c, Farmington Hills, MI 48334-3178 | 2014-05-05 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
Please comment or provide details below to improve the information on IMAGE THERAPEUTIC CARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.