ST ABYSSINIA PHYSICAL THERAPY LLC NPI 1548622350

NPI Information

  • NPI: 1548622350
  • Provider Name: ST ABYSSINIA PHYSICAL THERAPY LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 24800 NORTHWESTERN HWY
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 395-2234

Map and Directions

Get Directions

NPI Details

ST ABYSSINIA PHYSICAL THERAPY LLC is a medical specialty clinic center in Southfield, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ST ABYSSINIA PHYSICAL THERAPY LLC NPI is 1548622350. The provider is registered as an organization entity type.

The provider's business location address is:

24800 NORTHWESTERN HWY
SOUTHFIELD, MI
ZIP 48075-319
Phone: (248) 395-2234

The provider's authorized official is Shirley Douglas .
The authorized official title is Owner and has the following contact phone number (248) 395-2234.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICARE PINMICHIGAN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI