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

Outlaw Physical Therapy, PLLC

Organization Physical Therapy Clinic/Center · NPI 1316685092

Outlaw Physical Therapy, PLLC is a Physical Therapy Clinic/Center in Niles, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2882 Detroit Rd
Niles, MI 49120-9412
Phone: (574) 333-8775
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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 number1316685092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Outlaw — Physical Therapist · (574) 333-8775
NPI enumeratedMay 23, 2022
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022
Mailing address2882 Detroit Rd, Niles, MI 49120-9412

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