Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Active Life Physical Therapy & Rehab Inc

Organization Physical Therapist · NPI 1073016614

Active Life Physical Therapy & Rehab Inc is a Physical Therapist in Southfield, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17515 W 9 Mile Rd Ste 140
Southfield, MI 48075-4411
Phone: (248) 281-4097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27320 Debiasi Dr, Brownstown, MI 48174-8511 — (734) 637-7540

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 5501014085 (MI)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1073016614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raj Nijjar — Ceo · (734) 637-7540
NPI enumeratedMarch 9, 2018
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address27320 Debiasi Dr, Brownstown, MI 48174-8511

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