OrganizationActive
Personalize Advance Therapy Services
NPI 1962034710 · Physical Therapy Clinic/Center · Detroit, MI
Provider details
- NPI number
- 1962034710
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marlon Burt, Administrator(313) 304-4040
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
4777 E Outer Dr Fl Ge
Detroit, MI 48234-3241
Phone: (313) 304-4040
Street-level locationGet directions
Mailing address
28021 Southfield Rd Ste 200
Lathrup Village, MI 48076-2816
Registry dates
- Enumerated
- 2020-02-10
- Last updated
- 2020-02-10
- Certified
- 2020-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.