Specialized Physical Therapy LLC
NPI 1396356176 · Physical Therapist · Canton, MI
Specialized Physical Therapy LLC is a Physical Therapist organization in Canton, MI (NPI 1396356176).
Provider details
- NPI number
- 1396356176
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kishore Jeevanandam, Owner(313) 414-1042
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Frequently asked questions
- What is Specialized Physical Therapy LLC's NPI number?
- Specialized Physical Therapy LLC's National Provider Identifier (NPI) is 1396356176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Specialized Physical Therapy LLC?
- Specialized Physical Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Specialized Physical Therapy LLC located?
- Specialized Physical Therapy LLC's practice location on file with NPPES is 49783 Annandale Dr, Canton, MI 48187-2159.
- What is Specialized Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Specialized Physical Therapy LLC is (313) 414-1042.
- Who is the authorized official for Specialized Physical Therapy LLC?
- The authorized official listed on Specialized Physical Therapy LLC's NPPES record is Kishore Jeevanandam, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Specialized Physical Therapy LLC's NPI active?
- Yes — Specialized Physical Therapy LLC's NPI (1396356176) is active in the NPPES registry as of the last update on 2020-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.