Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dynasty Physical Therpay and Rehabilitation, PC

Organization Physical Therapist · NPI 1902085418

Dynasty Physical Therpay and Rehabilitation, PC is a Physical Therapist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3800 Woodward Ave Ste 1100
Detroit, MI 48201-2062
Phone: (313) 832-8008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501011025 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 5201006743 (MI)

Record details

NPI number1902085418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tariq Siddiqi — Owner · (313) 832-8008
NPI enumeratedOctober 31, 2007
Last updated in NPPESOctober 31, 2007
Mailing address3800 Woodward Ave Ste 1100, Detroit, MI 48201-2062

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