GREATER DETROIT PHYSICAL THERAPY (NPI# 1962435685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962435685 |
| Entity Type | Organization |
| Organization Name | GREATER DETROIT PHYSICAL THERAPY |
| Other Organization Name | MERRIMAN MEDICAL CENTER |
| Practice Address |
1678 S. Merriman Rd Westland MI 48186 |
| Mailing Address |
1678 S Merriman Rd Westland MI 48186-5355 |
| Practice Telephone | 7347210011 |
| Practice Fax Number | 7347210859 |
| Mailing Telephone | 7347210011 |
| Mailing Fax Number | 7347210859 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | DR. LARAN JONATHON LERNER (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7347210011 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
LL008800 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Merriman Medical Center | Doing Business As Name - Organization |
| Street Address |
1678 S. MERRIMAN RD |
| City | WESTLAND |
| State | MI |
| Zip Code | 48186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811539562 | Danny's Pharmacy | Pharmacy | 1629 S Merriman, Westland, MI 48186 | 2019-10-15 |
| 1740777499 | Nicole Marie Milz | Social Worker | 32517 Dorsey St, Westland, MI 48186 | 2018-04-18 |
| 1417483678 | Heidi Harmony Romero | Nurse Practitioner | 1952 Treadwell St, Westland, MI 48186 | 2017-05-10 |
| 1578010013 | Marguerite Wilhemina Way | Private Vehicle | 2439 Stieber St., Westland, MI 48186 | 2016-09-01 |
| 1275991440 | Robie Mcqueen | Counselor | 2661 Stieber St, Westland, MI 48186 | 2016-02-03 |
| 1134486558 | All About Baby | Case Management | 1620 Leslie St, Westland, MI 48186 | 2012-04-23 |
| 1619242013 | Sure Care Enterprises, LLC | Home Health | 400 Venoy, Westland, MI 48186 | 2012-03-19 |
| 1033388442 | Diane Marie Dart-baden | Psychologist | 1547 South Wayne Road, Westland, MI 48186 | 2008-02-29 |
| 1649448002 | Ameri Group Services, Inc. | Durable Medical Equipment & Medical Supplies | 1150 S Wayne Rd, Westland, MI 48186 | 2008-02-19 |
| 1285816645 | Choices 4 Transportation Service, LLC | Non-emergency Medical Transport (VAN) | 29063 Currier Avenue, Westland, MI 48186 | 2007-11-28 |
| Find all providers in zip 48186 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548626104 | Kristen Bentley | Physical Therapist | 29359 Ann Arbor Trl, Westland, MI 48185-1854 | 2016-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851514 | Rebecca Marie Beery | Physical Therapist | 9551 Saline Waterworks Rd, Manchester, MI 48158-9728 | 2020-11-05 |
| 1861037921 | Jackson Hanks II | Physical Therapist | 2901 Commerce Xing, Commerce Township, MI 48390-3084 | 2019-11-13 |
| 1366084030 | Shelby Gusfa | Physical Therapist | 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 | 2019-10-14 |
| 1881168078 | Jessie Lynn Lewis | Physical Therapist | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 | 2019-01-22 |
| 1063980373 | Fuel Physical Therapy & Sports Performance, LLC | Physical Therapist | 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 | 2018-11-05 |
| 1386111243 | Your Alternative Pt, LLC | Physical Therapist | 640 Romence Rd Ste 111, Portage, MI 49024-3400 | 2018-10-30 |
| 1811472319 | Rachel E Michalski | Physical Therapist | 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035 | 2018-10-01 |
| 1265916852 | Kelly Gotberg | Physical Therapist | 854 Washington Ave Ste 200, Holland, MI 49423-7143 | 2018-09-19 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1790272078 | Susan G Gall | Physical Therapist | 67267 S Main St, Richmond, MI 48062-1919 | 2018-04-22 |
| Find all providers with the same taxonomy | ||||
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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.