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

Specialized Physical Therapy LLC

Organization Physical Therapist · NPI 1396356176

Specialized Physical Therapy LLC is a Physical Therapist in Canton, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

49783 Annandale Dr
Canton, MI 48187-2159
Phone: (313) 414-1042
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1396356176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kishore Jeevanandam — Owner · (313) 414-1042
NPI enumeratedAugust 13, 2020
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020
Mailing address49783 Annandale Dr, Canton, MI 48187-2159

Other providers in Canton