Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ron Physical Therapy PC

Organization Physical Therapist · NPI 1710189162

Ron Physical Therapy PC provides Physical Therapist services in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

17418 W 10 Mile Rd
Southfield, MI 48075-2951
Phone: (248) 552-1012
Fax: (248) 552-0657
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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 5501007156 (MI)

Record details

NPI number1710189162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sudhakaran Jegadeesh — President · (248) 552-1012
Other names Ron Physical Therapy P.C
NPI enumeratedJune 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address17418 W 10 Mile Rd, Southfield, MI 48075-2951

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