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

Miracle One Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1477923431

Miracle One Physical Therapy LLC is a Physical Therapy Clinic/Center in Southfield, Michigan. Registered with an NPI since 2015.

In the registry since
2015
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

24800 Northwestern Hwy Level 1
Southfield, MI 48075-2319
Phone: (248) 808-7694
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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 number1477923431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malik Fuqua — Owner · (248) 808-7694
NPI enumeratedOctober 3, 2015
Last updated in NPPESOctober 3, 2015
Mailing address24800 Northwestern Hwy, Level 1, Southfield, MI 48075-2319

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