CAPTIVA OUTPATIENT PHYSICAL THERAPY INC (NPI# 1255696464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255696464 |
| Entity Type | Organization |
| Organization Name | CAPTIVA OUTPATIENT PHYSICAL THERAPY INC |
| Practice Address |
15001 Michigan Ave #200 Dearborn MI 48126-2912 |
| Practice Telephone | 3135633220 |
| Practice Fax Number | 3135633229 |
| Mailing Telephone | 3135633220 |
| Mailing Fax Number | 3135633229 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |
| Authorized Official Name | CANDICE KAYAL (BILLER) |
| Authorized Official Telephone | 3135633220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MI | Ambulatory Health Care Facilities |
| Street Address |
15001 MICHIGAN AVE #200 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490612 | John Michael Marcum | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-09-08 |
| 1356955140 | Taylor Holley | Speech-Language Pathologist | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-08-31 |
| 1649889551 | Mariam Alawieh | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-07-27 |
| 1043836307 | Ketaki Ruchika Singh Banerji | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-06-23 |
| 1851917116 | Markyiah Taylor | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-06-23 |
| 1265056600 | Ahmed Abushaban | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-06-02 |
| 1447873229 | Joiya Hunt | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-05-27 |
| 1689297434 | Faten Arafat Aljahmi | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-05-27 |
| 1871116665 | Destini Nichole Hunt | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-05-27 |
| 1316560832 | Imani Catrese Page | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
| 1881258374 | Divine Care Rehab Inc | Clinic/Center | 25001 Michigan Ave, Dearborn, MI 48124-1762 | 2019-04-30 |
| 1285124412 | Michigan Physical Therapy Group, LLC | Clinic/Center | 13530 Michigan Ave Ste 245, Dearborn, MI 48126-3575 | 2018-05-14 |
| 1245732361 | Vivid Rehab Inc | Clinic/Center | 12830 Ford Rd Ste C, Dearborn, MI 48126-3350 | 2018-03-05 |
| 1770941023 | Juliana Physicial Therapy LLC | Clinic/Center | 14765 Michigan Ave, Suite 102, Dearborn, MI 48126-3455 | 2016-02-02 |
| 1265807788 | Applied Rehab & Physical Therapy | Clinic/Center | 13702 Michigan Ave, Dearborn, MI 48126-3489 | 2015-12-09 |
| 1083096176 | Pure Therapy Centers LLC | Clinic/Center | 10423 W Warren Ave, Ste 100, Dearborn, MI 48126-1660 | 2015-06-24 |
| 1811391543 | Soul Physical Therapy Center LLC | Clinic/Center | 6558 Greenfield Rd, Dearborn, MI 48126-1701 | 2014-10-09 |
| 1487079620 | Choice Physical Therapy Inc | Clinic/Center | 7637 Barrie St, Dearborn, MI 48126-1021 | 2014-02-25 |
| 1356680102 | First National Rehab Inc | Clinic/Center | 12830 Ford Rd, Suite 4, Dearborn, MI 48126-3350 | 2013-02-13 |
| Find all providers in DEARBORN | ||||
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| 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.