MIRACLE ONE PHYSICAL THERAPY LLC
NPI 1477923431
Clinic/Center - Physical Therapy in Southfield, MI

Active since October 03, 2015
24800 NORTHWESTERN HWY, LEVEL 1, SOUTHFIELD, MI 48075(248) 808-7694 Get Directions Write a Review

NPPES record last updated: October 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miracle One Physical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE ONE PHYSICAL THERAPY LLC (NPI 1477923431) is a healthcare organization registered as a physical therapy in Southfield, Michigan and active in the NPI registry since October 2015. The organization lists Malik J Fuqua, Owner, as its authorized official.

NPPES Registry Identity

NPI1477923431
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameMIRACLE ONE PHYSICAL THERAPY LLC
Location Address24800 NORTHWESTERN HWY, LEVEL 1Southfield, MI 48075-2319
Mailing Address24800 Northwestern Hwy, Level 1Southfield, MI 48075-2319 · (248) 808-7694
Organization SubpartNo
Authorized OfficialMalik J FuquaOwner · (248) 808-7694
Enumeration DateOctober 3, 2015
NPI 1477923431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
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.
24800 NORTHWESTERN HWY, Southfield, MI 48075

Other Identifiers 1

Medicare PINPENDINGMI

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
24800 NORTHWESTERN HWY, SUITE 2
SOUTHFIELD, MI 48075
Clinic/Center (Magnetic Resonance Imaging (MRI))
24800 NORTHWESTERN HWY, SUITE 4
SOUTHFIELD, MI 48075
Clinic/Center (Medical Specialty)
24800 NORTHWESTERN HWY
SOUTHFIELD, MI 48075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miracle One Physical Therapy LLC's NPI number?

The NPI number for Miracle One Physical Therapy LLC is 1477923431. It was assigned to this organization in the NPPES registry on October 3, 2015.

Where is Miracle One Physical Therapy LLC located?

Miracle One Physical Therapy LLC is located at 24800 Northwestern Hwy Level 1, Southfield, MI 48075. The listed phone number is (248) 808-7694.

What is Miracle One Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Miracle One Physical Therapy LLC was last updated on October 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.