SOUVA PT AND PERFORMANCE LLC
NPI 1407564024
Clinic/Center - Physical Therapy in Shelby Township, MI

Active since November 14, 2022
51220 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316(586) 210-0530 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2024, Dec 17, 2023, May 10, 2023 and 1 more (4 updates tracked since 2022).

  • Organization
  • Clinic/Center
  • Physical Therapy

About SOUVA PT AND PERFORMANCE LLC

This page provides the complete NPI Profile along with additional information for Souva Pt And Performance Llc, a provider established in Shelby Township, Michigan operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1407564024 assigned on November 2022. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jacob Brad Souva Dpt (Owner)

NPI
1407564024 Verify this NPI
Provider Name
SOUVA PT AND PERFORMANCE LLC
Entity Type
Organization
Location Address
51220 VAN DYKE AVE SHELBY TOWNSHIP, MI 48316
Location Phone
(586) 210-0530
Mailing Address
71575 JULIUS DR BRUCE TOWNSHIP, MI 48065
Mailing Phone
(586) 569-1621
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2022
Last Update Date
09-09-2024
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Location Map

Secondary Locations

  • 71575 Julius Dr
    Bruce Township, MI 48065
    (586) 569-1621
  • 2615 Nakota Rd
    Royal Oak, MI 48073
    (586) 210-0530

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACOB BRAD SOUVA DPT

Authorized Official Title
OWNER
Authorized Official Phone
(586) 569-1621

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
51220 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316
Physical Therapist
51220 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407564024, enumerated as an "organization" on November 14, 2022.

The provider is located at 51220 VAN DYKE AVE SHELBY TOWNSHIP, MI 48316 and the phone number is (586) 210-0530.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.