IDEAL PHYSICAL THERAPY SERVICESINC NPI 1477913127

NPI Information

  • NPI: 1477913127
  • Provider Name: IDEAL PHYSICAL THERAPY SERVICES,INC
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Address: 14058 W MCNICHOLS RD
    DETROIT, MI
    ZIP 48235
  • Phone: (313) 659-6847

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NPI Details

IDEAL PHYSICAL THERAPY SERVICES,INC is an orthopedic physical therapist in Detroit, MI. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. IDEAL PHYSICAL THERAPY SERVICES,INC NPI is 1477913127. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14058 W MCNICHOLS RD
DETROIT, MI
ZIP 48235-928
Phone: (313) 659-6847
Fax: (313) 659-6867

The provider's authorized official is Kazeem A Agboola .
The authorized official title is President and has the following contact phone number (313) 659-6847.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 2/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedic55001006794MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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