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

Form Physical Therapy, LLC

Organization Physical Therapy Clinic/Center · NPI 1750844619

Form Physical Therapy, LLC is a Physical Therapy Clinic/Center in Saint Clair Shores, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22340 Harper Ave
Saint Clair Shores, MI 48080-1818
Phone: (586) 330-0499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1750844619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Delind — Physical Therapist · (248) 860-1329
NPI enumeratedApril 8, 2019
Last updated in NPPESApril 8, 2019
Mailing address22340 Harper Ave, Saint Clair Shores, MI 48080-1818

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