Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Associated Orthopedist of Detroit

Organization Physical Therapy Assistant · NPI 1902165566

Associated Orthopedist of Detroit is a Physical Therapy Assistant in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207
Phone: (586) 779-7970
Fax: (586) 779-7748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502000482 (MI)

Record details

NPI number1902165566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Johnson — Credentialing Manager · (586) 710-2307
NPI enumeratedMay 16, 2012
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207

Other providers in Saint Clair Shores