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

Providence Physical Therapy

Organization Physical Therapist · NPI 1124416912

Providence Physical Therapy is a Physical Therapist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

20180 W 12 Mile Rd Ste 100
Southfield, MI 48076-5412
Phone: (248) 223-9230
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence HR014291 (MI)

Record details

NPI number1124416912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amena Saad — Credentialer · (313) 655-4544
NPI enumeratedDecember 31, 2014
Last updated in NPPESDecember 31, 2014
Mailing address20180 W 12 Mile Rd, Suite 100, Southfield, MI 48076-5412

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