Provider Demographics
NPI:1316059413
Name:AMERICAN THERAPY CENTERS, LLC
Entity type:Organization
Organization Name:AMERICAN THERAPY CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIANKO
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:734-728-5660
Mailing Address - Street 1:7107 N. WAYNE RD.
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-2172
Mailing Address - Country:US
Mailing Address - Phone:734-728-5660
Mailing Address - Fax:734-728-5670
Practice Address - Street 1:7107 N. WAYNE RD.
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2172
Practice Address - Country:US
Practice Address - Phone:734-728-5660
Practice Address - Fax:734-728-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI825754261QR0401X
261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
234526Medicare UPIN
234526Medicare UPIN