| Revive Outpatient Services, Llc. | |
|
17200 E 10 Mile Rd Ste 137, Eastpointe, MI 48021-3355 | |
| (269) 589-9659 | |
| (248) 522-7916 |
| Full Name | Revive Outpatient Services, Llc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 17200 E 10 Mile Rd Ste 137, Eastpointe, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407408198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kaushik A Joshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891013926 PECOS PAC ID: 1557792025 Enrollment ID: I20200602003012 |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Outpatient Services, Llc. 49578 E Central Park, Shelby Township, MI 48317-2412 Ph: (269) 589-9659 | Revive Outpatient Services, Llc. 17200 E 10 Mile Rd Ste 137, Eastpointe, MI 48021-3355 Ph: (269) 589-9659 |
Prerna Sethi, M.S. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18200 E Tenmile Road, Suite 200, Eastpointe, MI 48021 Phone: 586-771-7500 Fax: 586-486-1700 | |
Hamad Ibrahim Hamad, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21331 Kelly Rd, Eastpointe, MI 48021 Phone: 248-376-5834 | |
Maria Rodriquez Ramos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22133 Gratiot Ave, Eastpointe, MI 48021 Phone: 586-776-0080 Fax: 586-776-4349 | |
Jawad Alam Karam, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17200 E 10 Mile Rd, Ste 165, Eastpointe, MI 48021 Phone: 586-298-6909 Fax: 586-298-6914 | |
Jocelyn Tuazon Cabral, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 22133 Gratiot Ave, Eastpointe, MI 48021 Phone: 586-776-0080 Fax: 586-776-4349 | |
Restorative Physical Therapy Services, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17200 E 10 Mile Rd Ste 165, Eastpointe, MI 48021 Phone: 586-298-6909 Fax: 586-298-6914 | |
Dalinda Richardson, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18200 E Tenmile Road, 200, Eastpointe, MI 48021 Phone: 586-771-7500 Fax: 586-486-1700 |