OrganizationActive
Physical Therapy Management Mi LLC
NPI 1639618267 · Physical Therapy Clinic/Center · Pontiac, MI
Provider details
- NPI number
- 1639618267
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rawan Shkoukani, Owner(586) 202-6706
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
461 W Huron St
Suite # G70
Pontiac, MI 48341-1601
Phone: (248) 747-3497
Fax: (800) 980-3329
Street-level locationGet directions
Mailing address
Po Box 431361
Pontiac, MI 48343-1361
Registry dates
- Enumerated
- 2017-02-15
- Last updated
- 2017-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.